Daniel Mark Provencher

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085001850

Status

Active

First issued

August 19, 2002

Expires

March 1, 2028

License holder

Daniel Mark Provencher

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/09/2025

Other Illinois licenses under this name

• IL
  Daniel Mark Provencher

  License 38*****56

  Physician Assistant Controlled Substance
  Expired

  Hinsdale, IL

  Expired Mar 1, 2014

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