Michigan
Department of Licensing and Regulation
DENISE PATRICIA PROVENCHER
Physician's Assistant - Physician Assistant
License number
5601003979
Date granted
11/13/2002
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Pinckney, MI 481699005
michiganlicensing.org
ID 25994975
LAST UPDATED 2024-02-10 08:17:32 UTC
LAST UPDATED 2024-02-10 08:17:32 UTC
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