License holder summary

Ivy L Brackup is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Ivy L Brackup is DotHouse Health, 1353 Dorchester Ave 02122. This licensed professional license is current. The license was granted 09/24/1997 and expired on 04/05/2018.

Massachusetts

Division of Professional Licensure

Ivy L Brackup
Board Of Registration In Medicine
License number
155300
Date granted
09/24/1997
Date expires
04/05/2018
Class
Board Of Registration In Medicine
Status
Active
Address
DotHouse Health, 1353 Dorchester Ave
licensingma.org
ID 41414440
LAST UPDATED 2024-03-10 17:41:56 UTC

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