License holder summary

Amy D DiVasta is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Amy D DiVasta is Boston Children's Hospital, 333 Longwood Avenue 02115. This licensed professional license is current. The license was granted 05/18/2005 and expired on 12/01/2017.

Massachusetts

Division of Professional Licensure

Amy D DiVasta
Board Of Registration In Medicine
License number
224617
Date granted
05/18/2005
Date expires
12/01/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Boston Children's Hospital, 333 Longwood Avenue
licensingma.org
ID 41423278
LAST UPDATED 2026-05-21 17:19:06 UTC

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