Lauren F Provenzano
ExpiredIllinois license 096001039
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096001039
- Status
- Expired (Not Renewed)
- First issued
- September 10, 1997
- Expired
- May 31, 2000
- License holder
- Lauren F Provenzano
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 07/17/2000
Contact
Chicago, IL 60614
Cook County