License holder summary

Derrick A Manzlak is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Derrick A Manzlak is 720 Harrison Ave DOB, 9th Floor Rm 915, Boston 02118. This licensed professional license is current. The license was granted 12/17/2014 and expired on 05/02/2017.

Massachusetts

Division of Professional Licensure

Derrick A Manzlak
Board Of Registration In Medicine
License number
261728
Date granted
12/17/2014
Date expires
05/02/2017
Class
Board Of Registration In Medicine
Status
Active
Address
720 Harrison Ave DOB, 9th Floor Rm 915
licensingma.org
ID 41452940
LAST UPDATED 2024-05-13 15:35:59 UTC

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