License holder summary

Provenzano, Donald S is a Podiatric Medicine And Surgery licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 06/15/1979 and expired on 10/31/1995.

Wisconsin

Department of Safety and Professional Services

Provenzano, Donald S
Podiatric Medicine And Surgery
License number
440-25
Date granted
06/15/1979
Date expires
10/31/1995
Class
Podiatric Medicine And Surgery
Status
Expired
wisconsinlicensing.org
ID 35685028
LAST UPDATED 2026-03-28 04:16:40 UTC

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