License holder summary

JOHN M PROVOST is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JOHN M PROVOST is SALT LAKE CITY, UT 84124. This licensed professional license is not current. The license was granted 05/11/1984 and expired on 01/31/2004.

Utah

Division of Occupational and Professional Licensing

JOHN M PROVOST
Physician - Physician & Surgeon
License number
171384-1205
Date granted
05/11/1984
Date expires
01/31/2004
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84124
utahlicensing.org
ID 29926878
LAST UPDATED 2026-04-23 18:02:28 UTC

This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.

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