License holder summary

DENISE PROVOST is a Medical - Physician Who Holds A Locum Tenens Permit licensed to practice in Alaska. The address on file for DENISE PROVOST is 1312 BRYAN AVE SALT LAKE CITY UT 84150. This licensed professional license is current. The license was granted 08/30/1999 and expired on 10/30/1999.

Alaska

Division of Corporations, Business and Professional Licensing

DENISE PROVOST
Medical - Physician Who Holds A Locum Tenens Permit
License number
1170
Date granted
08/30/1999
Date expires
10/30/1999
Class
Medical - Physician Who Holds A Locum Tenens Permit
Status
Licensed
Address
1312 BRYAN AVE SALT LAKE CITY UT 84150
alaskalicensing.com
ID 20455741
LAST UPDATED 2024-04-11 18:28:06 UTC

This website is unaffiliated with the Division of Corporations, Business and Professional Licensing. Please verify all information directly with the relevant official government authority.

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