License holder summary

Provencio, Jose-Cleveland Clinic is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Provencio, Jose-Cleveland Clinic is Cleveland Clinic, 9500 Euclid Ave P57, Cleveland, OH 44195. This licensed professional license is current. The license was granted 03/21/2007 and expired on 01/31/2015.

Ohio

Board of Licensing

Provencio, Jose-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.7835-SA
Date granted
03/21/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Cleveland Clinic, 9500 Euclid Ave P57, Cleveland, OH 44195
ohiolicensing.org
ID 28937001
LAST UPDATED 2026-05-14 15:30:31 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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