License holder summary

Faye P Provenza is a Health Care - Physician And Surgeon License licensed to practice in Washington. This medical licensee license is not current. The license was granted 07/05/2005 and expired on 02/18/2016.

Washington

Medical Commission

Faye P Provenza
Health Care - Physician And Surgeon License
License number
MD00045288
Date granted
07/05/2005
Date expires
02/18/2016
Class
Health Care - Physician And Surgeon License
Status
Expired
wamedical.net
ID 41511772
LAST UPDATED 2026-07-25 02:04:19 UTC

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