License holder summary

BEVERLY A PROVENZA-CARROLL is a Idaho Board Of Massage Therapy - Massage Therapist Grandfather licensed to practice in Idaho. The address on file for BEVERLY A PROVENZA-CARROLL is EMMETT ID 83617. This licensed professional license is current. The license was granted 06/27/2013 and expired on 11/04/2016.

Idaho

Division of Occupational and Professional Licenses

BEVERLY A PROVENZA-CARROLL
Idaho Board Of Massage Therapy - Massage Therapist Grandfather
License number
MASG - 1077
Date granted
06/27/2013
Date expires
11/04/2016
Class
Idaho Board Of Massage Therapy - Massage Therapist Grandfather
Status
Current
Address
EMMETT ID 83617
idaholicensing.com
ID 19677329
LAST UPDATED 2024-02-21 02:01:58 UTC

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