License holder summary

PROVO, JAMES E, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PROVO, JAMES E, MD is 14050 NW 14TH STREET | SUITE 190, FT. LAUDERDALE 33323. This doctor license is not current. The license was granted 12/08/1994 and expired on 12/31/2003.

Georgia

Composite Medical Board

PROVO, JAMES E, MD
Medical - Physician
License number
039441
Date granted
12/08/1994
Date expires
12/31/2003
Class
Medical - Physician
Status
Lapsed
Address
14050 NW 14TH STREET | SUITE 190
georgiadoctors.net
ID 38074051
LAST UPDATED 2024-04-20 00:59:53 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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