License holder summary

ANGELO MICHAEL PROVENZO is a Psychologist licensed to practice in Indiana. The address on file for ANGELO MICHAEL PROVENZO is COLUMBUS IN 47203. This licensed professional license is not current. The license was granted 06/21/1985 and expired on 08/31/1988.

Indiana

Professional Licensing Agency

ANGELO MICHAEL PROVENZO
Psychologist
License number
20010515A
Date granted
06/21/1985
Date expires
08/31/1988
Class
Psychologist
Status
Expired
Address
COLUMBUS IN 47203
indianalicensing.org
ID 8450373
LAST UPDATED 2024-03-09 16:16:22 UTC

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