License holder summary

Dr. JOSE JAVIER PROVENCIO is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. JOSE JAVIER PROVENCIO is Cleveland Clinic Foundation, NC30 Neurological Institute, 9500 EUCLID AVE, CLEVELAND, OH 44195. This doctor license is not current. The license was granted 02/21/2003 and expired on 04/01/2016.

Ohio

State Medical Board of Ohio

Dr. JOSE JAVIER PROVENCIO
Medical Board - 35.Doctor Of Medicine
License number
35.082252
Date granted
02/21/2003
Date expires
04/01/2016
Class
Medical Board - 35.Doctor Of Medicine
Status
Failed to Renew
Address
Cleveland Clinic Foundation, NC30 Neurological Institute, 9500 EUCLID AVE, CLEVELAND, OH 44195
doctorsohio.org
ID 28457639
LAST UPDATED 2026-04-01 06:20:08 UTC

This website is unaffiliated with the State Medical Board of Ohio. Please verify all information directly with the relevant official government authority.

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