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 2026-05-20 07:46:29 UTC
LAST UPDATED 2026-05-20 07:46:29 UTC
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