Denise Patricia Provencher
ActiveMichigan license 5601003979
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601003979
- Status
- Active
- First issued
- November 13, 2002
- Expires
- November 13, 2028
- License holder
- Denise Patricia Provencher
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons