License holder summary

JAMES ERNEST PROVO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAMES ERNEST PROVO is MEMORIAL HOSPITAL, FIFTH & PINE STREETS, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 08/02/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

JAMES ERNEST PROVO
Controlled Substance Registration - Physician
License number
01039495B
Date granted
08/02/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL, FIFTH & PINE STREETS, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892731
LAST UPDATED 2024-02-25 13:13:28 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with JAMES ERNEST PROVO's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending