Mia K Provenzano
ExpiredIllinois license 096005905
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096005905
- Status
- Expired (Not Renewed)
- First issued
- December 10, 2024
- Expired
- June 30, 2026
- License holder
- Mia K Provenzano
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 12/10/2024
Contact
Glencoe, IL 60022
Cook County