License holder summary

DETRA E PROVOST is a Health Care - Pharmacist License licensed to practice in Washington. This medical licensee license is not current. The license was granted 08/30/1991 and expired on 02/01/1998.

Washington

Medical Commission

DETRA E PROVOST
Health Care - Pharmacist License
License number
PH00018147
Date granted
08/30/1991
Date expires
02/01/1998
Class
Health Care - Pharmacist License
Status
Expired
wamedicine.com
ID 39957039
LAST UPDATED 2026-03-26 10:12:12 UTC

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