License holder summary

PROVENCHER JODY L is a Clinical Laboratory - Clinical Laboratory Technologist licensed to practice in New York. The address on file for PROVENCHER JODY L is PLAINSBORO NJ. This licensed professional license is current. The license was granted 11/05/2012 and expired on 10/31/2015.

New York

Office of the Professions

PROVENCHER JODY L
Clinical Laboratory - Clinical Laboratory Technologist
License number
016789
Date granted
11/05/2012
Date expires
10/31/2015
Class
Clinical Laboratory - Clinical Laboratory Technologist
Status
Registered
Address
PLAINSBORO NJ
nylicensing.org
ID 19709775
LAST UPDATED 2025-03-25 12:21:08 UTC

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