License holder summary

DAWN MARIE PROVOST is a Occupational Therapist & Assistant - Occupational Therapist licensed to practice in Michigan. The address on file for DAWN MARIE PROVOST is Gallipolis Ferry, WV 25515. This licensed professional license is not current. The license was granted 06/14/1996 and expired on 05/31/2005.

Michigan

Department of Licensing and Regulation

DAWN MARIE PROVOST
Occupational Therapist & Assistant - Occupational Therapist
License number
5201003351
Date granted
06/14/1996
Date expires
05/31/2005
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Lapsed
Address
Gallipolis Ferry, WV 25515
michiganlicensing.org
ID 25872625
LAST UPDATED 2026-06-14 07:04:34 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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