License holder summary

Teri Scott Formanek is a Board Of Registration In Medicine licensed to practice in Massachusetts. This licensed professional license is not current. The license was granted 07/03/1991 and expired on 02/22/2000.

Massachusetts

Division of Professional Licensure

Teri Scott Formanek
Board Of Registration In Medicine
License number
74544
Date granted
07/03/1991
Date expires
02/22/2000
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41427677
LAST UPDATED 2024-02-24 06:21:37 UTC

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