License holder summary

PROVO , MARK is a Department Of Health - Emergency Medical Responder licensed to practice in Tennessee. This medical licensee license is current. The license was granted 12/31/2001 and expired on 04/30/2018.

Department of Health

Board of Medical Examiners

PROVO , MARK
Department Of Health - Emergency Medical Responder
License number
9772
Date granted
12/31/2001
Date expires
04/30/2018
Class
Department Of Health - Emergency Medical Responder
Status
Certified
Address
medicaltn.com
ID 42057028
LAST UPDATED 2024-04-21 02:01:22 UTC

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