Massachusetts
Division of Professional Licensure
Nichole S. Fortin
Physician Assistants - Physician Assistant
License number
PA4143
Date granted
02/15/2011
Date expires
03/01/2015
Class
Physician Assistants - Physician Assistant
Status
Expired
Address
United States
licensingma.org
ID 38551586
LAST UPDATED 2024-05-08 06:35:58 UTC
LAST UPDATED 2024-05-08 06:35:58 UTC
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