Department of Health
Board of Medical Examiners
PROVINES , WAYNE FREDERICK
Department Of Health - Optometrist
License number
2317
Date granted
12/06/2001
Date expires
08/31/2004
Class
Department Of Health - Optometrist
Status
Retired
Address
medicaltn.com
ID 42255558
LAST UPDATED 2026-05-27 08:50:52 UTC
LAST UPDATED 2026-05-27 08:50:52 UTC
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