License holder summary

Tara M Otto is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Tara M Otto is 11995 Singletree Lane, Suite 500, Eden Prairie 55344. This licensed professional license is current. The license was granted 09/11/2013 and expired on 04/04/2018.

Massachusetts

Division of Professional Licensure

Tara M Otto
Board Of Registration In Medicine
License number
257103
Date granted
09/11/2013
Date expires
04/04/2018
Class
Board Of Registration In Medicine
Status
Active
Address
11995 Singletree Lane, Suite 500
licensingma.org
ID 41463437
LAST UPDATED 2024-03-02 21:57:36 UTC

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