Donald Steven Provenzano

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****14

Status

Expired (Not Renewed)

First issued

January 1, 1998

Expired

September 1, 1982

License holder

Donald Steven Provenzano

Entity type

Individual

Classifications

• Licensed Podiatry Controlled Substance Other Health Care

More from the license record

Controlled substance schedules

II III IV V

Other Illinois licenses under this name

• IL
  Donald Steven Provenzano

  License 016003070

  Licensed Podiatric Physician (Podiatry)
  Inactive

  Gadsden, AL

  Expired Jan 31, 1985
• IL
  Donald Steven Provenzano

  License 049056635

  Pharmacy Technician
  Expired

  Bloomingdale, IL

  Expired Jan 1, 1997

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