License holder summary

Michael Lee Gustafson is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Michael Lee Gustafson is Brigham and Women's Faulkner Hospital, 1153 Centre Street, Jamaica Plain 02130. This licensed professional license is not current. The license was granted 04/14/1993 and expired on 09/13/2017.

Massachusetts

Division of Professional Licensure

Michael Lee Gustafson
Board Of Registration In Medicine
License number
77422
Date granted
04/14/1993
Date expires
09/13/2017
Class
Board Of Registration In Medicine
Status
Inactive
Address
Brigham and Women's Faulkner Hospital, 1153 Centre Street
licensingma.org
ID 41433139
LAST UPDATED 2024-05-07 19:25:43 UTC

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