License holder summary

PROVENZANO GERALYN G is a Medical licensed to practice in Louisiana. The address on file for PROVENZANO GERALYN G is 706 W 28TH AVENUE, COVINGTON, LA 70458.

Louisiana

Board of Licensing

PROVENZANO GERALYN G
Medical
License number
OTT.Z10339
Date expires
02/28/2015
Class
Medical
Status
Active
Address
706 W 28TH AVENUE, COVINGTON, LA 70458
louisianalicensing.com
ID 21997427
LAST UPDATED 2024-03-01 16:16:00 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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