License holder summary

Brian Keith Mongillo is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Brian Keith Mongillo is Milford Regional Hospital, 14 Prospect Street 01757. This licensed professional license is current. The license was granted 09/26/1990 and expired on 10/02/2017.

Massachusetts

Division of Professional Licensure

Brian Keith Mongillo
Board Of Registration In Medicine
License number
73402
Date granted
09/26/1990
Date expires
10/02/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Milford Regional Hospital, 14 Prospect Street
licensingma.org
ID 41458104
LAST UPDATED 2024-03-02 21:03:46 UTC

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