Donald J Provenzale Jr Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****93

Status

Expired (Not Renewed)

First issued

January 4, 1993

Expired

September 30, 1994

License holder

Donald J Provenzale Jr Dds

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

01/04/1993

Other Illinois licenses under this name

• IL
  Donald J Provenzale Jr Dds

  License 019021170

  Licensed Dentist (Dental)
  Active

  Downers Grove, IL

  Expires Sep 30, 2027
• IL
  Donald J Provenzale Jr Dds

  License 137000289

  Dental Sedation Permit
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  Downers Grove, IL

  Expires Sep 30, 2027
• IL
  Donald J Provenzale Jr Dds

  License 31*****92

  Licensed Dentist Controlled Substance (Dental)
  Active

  Downers Grove, IL

  Expires Sep 30, 2027

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