License holder summary

Diane L Fountas is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Diane L Fountas is 1389 West Main Street, Suite 325, Waterbury 06708. This licensed professional license is current. The license was granted 08/20/1986 and expired on 04/04/2017.

Massachusetts

Division of Professional Licensure

Diane L Fountas
Board Of Registration In Medicine
License number
56514
Date granted
08/20/1986
Date expires
04/04/2017
Class
Board Of Registration In Medicine
Status
Active
Address
1389 West Main Street, Suite 325
licensingma.org
ID 41427755
LAST UPDATED 2024-03-13 15:16:30 UTC

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