License holder summary

Jasen W Gundersen is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jasen W Gundersen is TeamHealth Hospital Medicine, 5870 North Hiatus Road, Suite 200, Tamarac 33321. This licensed professional license is current. The license was granted 07/11/2001 and expired on 06/13/2018.

Massachusetts

Division of Professional Licensure

Jasen W Gundersen
Board Of Registration In Medicine
License number
212168
Date granted
07/11/2001
Date expires
06/13/2018
Class
Board Of Registration In Medicine
Status
Active
Address
TeamHealth Hospital Medicine, 5870 North Hiatus Road, Suite 200
licensingma.org
ID 41432917
LAST UPDATED 2024-03-27 08:10:23 UTC

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