License holder summary

DAVID GERARD PROVAZNIK is a Osteopathic Physician (Do) - Osteopathic Physician licensed to practice in Michigan. The address on file for DAVID GERARD PROVAZNIK is Lansing, MI 48910. This licensed professional license is not current. The license was granted 07/05/1988 and expired on 12/31/1988.

Michigan

Department of Licensing and Regulation

DAVID GERARD PROVAZNIK
Osteopathic Physician (Do) - Osteopathic Physician
License number
5101010015
Date granted
07/05/1988
Date expires
12/31/1988
Class
Osteopathic Physician (Do) - Osteopathic Physician
Status
Lapsed
Address
Lansing, MI 48910
michiganlicensing.org
ID 25888027
LAST UPDATED 2024-04-16 01:30:12 UTC

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