License holder summary

MATTHEW T PROVENCHER is a Health Care - Physician And Surgeon License licensed to practice in Washington. This medical licensee license is not current. The license was granted 04/21/2005 and expired on 02/21/2014.

Washington

Medical Commission

MATTHEW T PROVENCHER
Health Care - Physician And Surgeon License
License number
MD00044884
Date granted
04/21/2005
Date expires
02/21/2014
Class
Health Care - Physician And Surgeon License
Status
Expired
wamedical.net
ID 40458472
LAST UPDATED 2026-04-18 01:12:09 UTC

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