License holder summary

Fredric P Provenzano is a Health Care - Psychologist License licensed to practice in Washington. This medical licensee license is current. The license was granted 07/12/1985 and expired on 02/21/2017.

Washington

Medical Commission

Fredric P Provenzano
Health Care - Psychologist License
License number
PY00001022
Date granted
07/12/1985
Date expires
02/21/2017
Class
Health Care - Psychologist License
Status
Active
wamedicine.com
ID 41301801
LAST UPDATED 2024-02-28 20:07:53 UTC

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