License holder summary

Gisela I Banauch is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Gisela I Banauch is UMass Memorial Pulm Div, 55 Lake Ave, N, S6-831, Worcester 01655. This licensed professional license is current. The license was granted 10/03/2007 and expired on 07/15/2018.

Massachusetts

Division of Professional Licensure

Gisela I Banauch
Board Of Registration In Medicine
License number
234149
Date granted
10/03/2007
Date expires
07/15/2018
Class
Board Of Registration In Medicine
Status
Active
Address
UMass Memorial Pulm Div, 55 Lake Ave, N, S6-831
licensingma.org
ID 41411031
LAST UPDATED 2024-03-02 01:30:30 UTC

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