Colorado
Division of Professions and Occupations
John Martin Provost
Medical - Physician
License number
17894
Date granted
01/09/1973
Date expires
05/31/1985
Class
Medical - Physician
Status
Expired
Address
1220 EAST 3900 SOUTH, SUITE 4C, SALT LAKE CITY, UT, 84124-4124
coloradolicensing.org
ID 27447442
LAST UPDATED 2024-04-26 19:57:46 UTC
LAST UPDATED 2024-04-26 19:57:46 UTC
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