Alyssa Julia Provagna
ActiveMichigan license 4301511242
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301511242
- Status
- Active
- First issued
- August 7, 2025
- Expires
- August 7, 2028
- License holder
- Alyssa Julia Provagna
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons