License holder summary

PROVENCHER , DONALD R is a Department Of Health - Optometrist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 01/01/1967 and expired on 12/31/1981.

Department of Health

Board of Medical Examiners

PROVENCHER , DONALD R
Department Of Health - Optometrist
License number
2086
Date granted
01/01/1967
Date expires
12/31/1981
Class
Department Of Health - Optometrist
Status
Expired
Address
medicaltn.com
ID 42255546
LAST UPDATED 2024-02-20 18:45:02 UTC

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