License holder summary

Brian W Jack is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Brian W Jack is Dowling 5, Room 5309, , 1 BMC PlaceBoston Medical Center 02118. This licensed professional license is current. The license was granted 08/13/1997 and expired on 04/05/2018.

Massachusetts

Division of Professional Licensure

Brian W Jack
Board Of Registration In Medicine
License number
154199
Date granted
08/13/1997
Date expires
04/05/2018
Class
Board Of Registration In Medicine
Status
Active
Address
Dowling 5, Room 5309, , 1 BMC PlaceBoston Medical Center
licensingma.org
ID 41438483
LAST UPDATED 2026-03-29 15:46:40 UTC

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