Massachusetts
Division of Professional Licensure
Gina G La Prova
Board Of Registration In Medicine
License number
224304
Date granted
04/06/2005
Date expires
09/21/2017
Class
Board Of Registration In Medicine
Status
Active
Address
143 Longwater Place
licensingma.org
ID 41446087
LAST UPDATED 2024-02-22 07:57:28 UTC
LAST UPDATED 2024-02-22 07:57:28 UTC
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