License holder summary

JUDITH PROVENZANO is a Radiographer licensed to practice in Connecticut. The address on file for JUDITH PROVENZANO is 333 VINCELETTE ST, UNIT 154, Fairfield, BRIDGEPORT, CT, 06606. This licensed professional license is current. The license was granted 11/25/1994 and expired on 05/31/2015.

Connecticut

Department of Consumer Protection

JUDITH PROVENZANO
Radiographer
License number
2218
Date granted
11/25/1994
Date expires
05/31/2015
Class
Radiographer
Status
Active
Address
333 VINCELETTE ST, UNIT 154, Fairfield, BRIDGEPORT, CT, 06606
ctlicensing.org
ID 4371018
LAST UPDATED 2024-01-27 17:27:10 UTC

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