License holder summary

Jeff Provencher is a Health Care - Counselor Agency Affiliated Registration licensed to practice in Washington. This medical licensee license is not current. The license was granted 06/08/2015 and expired on 06/07/2016.

Washington

Medical Commission

Jeff Provencher
Health Care - Counselor Agency Affiliated Registration
License number
CG60572410
Date granted
06/08/2015
Date expires
06/07/2016
Class
Health Care - Counselor Agency Affiliated Registration
Status
Expired
wamedicine.com
ID 39978283
LAST UPDATED 2026-07-14 01:42:31 UTC

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