License holder summary

Elise M Henricks is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Elise M Henricks is 415 Columbia Road, Dorchester 02125. This licensed professional license is current. The license was granted 04/15/1998 and expired on 03/18/2017.

Massachusetts

Division of Professional Licensure

Elise M Henricks
Board Of Registration In Medicine
License number
156706
Date granted
04/15/1998
Date expires
03/18/2017
Class
Board Of Registration In Medicine
Status
Active
Address
415 Columbia Road
licensingma.org
ID 41435432
LAST UPDATED 2024-05-04 13:56:48 UTC

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