New Jersey
Division of Consumer Affairs
Kimberly A Provenzano
Registered Dental Assistant
License number
22DP00361100
Date granted
03/17/2000
Date expires
12/31/2008
Class
Registered Dental Assistant
Status
Expired
licensingnj.com
ID 8454891
LAST UPDATED 2024-03-17 20:29:51 UTC
LAST UPDATED 2024-03-17 20:29:51 UTC
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