License holder summary

PROVENCE , AUSTIN K is a Department Of Health - Pharmacy Technician licensed to practice in Tennessee. This medical licensee license is current. The license was granted 10/24/2012 and expired on 10/31/2016.

Department of Health

Board of Medical Examiners

PROVENCE , AUSTIN K
Department Of Health - Pharmacy Technician
License number
45354
Date granted
10/24/2012
Date expires
10/31/2016
Class
Department Of Health - Pharmacy Technician
Status
Licensed
Address
medicaltn.com
ID 42305073
LAST UPDATED 2024-03-01 07:18:16 UTC

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