License holder summary

Christopher Robert Provenzano is a Medical - Physician licensed to practice in Colorado. The address on file for Christopher Robert Provenzano is 45640 Schoenherr Rd, Utica, MI, 48315-6033. This licensed professional license is current. The license was granted 06/23/2010 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Christopher Robert Provenzano
Medical - Physician
License number
49048
Date granted
06/23/2010
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
45640 Schoenherr Rd, Utica, MI, 48315-6033
coloradolicensing.org
ID 27424057
LAST UPDATED 2024-03-09 19:36:05 UTC

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