Donald Joseph Provenzale Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****45

Status

Expired (Not Renewed)

First issued

January 1, 1998

Expired

September 30, 2024

License holder

Donald Joseph Provenzale 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

01/26/2022

Other Illinois licenses under this name

• IL
  Donald Joseph Provenzale Dds

  License 019012314

  Licensed Dentist (Dental)
  Expired

  Downers Grove, IL

  Expired Sep 30, 2024

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