License holder summary

GLENN R PROVDO is a Podiatrist - Podiatrist licensed to practice in Michigan. The address on file for GLENN R PROVDO is Brick, NJ 08723. This licensed professional license is not current. The license was granted 07/13/1984 and expired on 03/01/1988.

Michigan

Department of Licensing and Regulation

GLENN R PROVDO
Podiatrist - Podiatrist
License number
5901001175
Date granted
07/13/1984
Date expires
03/01/1988
Class
Podiatrist - Podiatrist
Status
Lapsed
Address
Brick, NJ 08723
michiganlicensing.org
ID 26004007
LAST UPDATED 2026-03-18 19:44:35 UTC

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