Ashton Provencher
ActiveMichigan license 5502008452
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5502008452
- Status
- Active
- First issued
- August 8, 2023
- Expires
- August 8, 2027
- License holder
- Ashton Provencher
- Entity type
- Individual
Classifications
- Physical Therapist Assistant Therapy & Rehabilitation