Professional Records
License Records
Teresa K Provenza
Address:
334 Niblick Cir, Winter Haven, FL
7700 State Rd 544, Winter Haven, FL
Phone:
(863) 293-4285
License #:
16714 - Active
Category:
Health Care
Issued Date:
Dec 8, 2009
Effective Date:
Sep 29, 2016
Expiration Date:
Dec 31, 2018
Type:
Registered Pharmacy Technician