Massachusetts
Division of Professional Licensure
Dean A Blass
Board Of Registration In Medicine
License number
55164
Date granted
12/18/1985
Date expires
09/14/2017
Class
Board Of Registration In Medicine
Status
Active
Address
83 Herrick Street, Suite 2001
licensingma.org
ID 41413500
LAST UPDATED 2024-04-21 16:35:08 UTC
LAST UPDATED 2024-04-21 16:35:08 UTC
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