License holder summary

Arthur J Provisor is a Physician licensed to practice in Indiana. The address on file for Arthur J Provisor is COLUMBUS GA 31904. This licensed professional license is current. The license was granted 08/21/1975 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Arthur J Provisor
Physician
License number
01026433A
Date granted
08/21/1975
Date expires
10/31/2015
Class
Physician
Status
Active
Address
COLUMBUS GA 31904
indianalicensing.org
ID 6039658
LAST UPDATED 2024-03-04 22:43:35 UTC

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