License holder summary

Mark J Provo is a Health Care - Social Worker Independent Clinical License licensed to practice in Washington. This medical licensee license is current. The license was granted 07/22/2001 and expired on 03/09/2017.

Washington

Medical Commission

Mark J Provo
Health Care - Social Worker Independent Clinical License
License number
LW00004923
Date granted
07/22/2001
Date expires
03/09/2017
Class
Health Care - Social Worker Independent Clinical License
Status
Active
wamedicine.com
ID 41401295
LAST UPDATED 2026-05-19 18:17:17 UTC

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