License holder summary

Jackie S Fantes is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jackie S Fantes is 10 Gove St., East Boston 02128. This licensed professional license is current. The license was granted 12/17/2014 and expired on 12/15/2017.

Massachusetts

Division of Professional Licensure

Jackie S Fantes
Board Of Registration In Medicine
License number
261649
Date granted
12/17/2014
Date expires
12/15/2017
Class
Board Of Registration In Medicine
Status
Active
Address
10 Gove St.
licensingma.org
ID 41426027
LAST UPDATED 2024-02-21 19:28:31 UTC

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