License holder summary

Jason S Wakakuwa is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jason S Wakakuwa is Beth Israel Deaconess Medical Ctr, 1 Deaconess Road w/cc-540, Boston 02215. This licensed professional license is current. The license was granted 06/29/1994 and expired on 11/15/2016.

Massachusetts

Division of Professional Licensure

Jason S Wakakuwa
Board Of Registration In Medicine
License number
79935
Date granted
06/29/1994
Date expires
11/15/2016
Class
Board Of Registration In Medicine
Status
Active
Address
Beth Israel Deaconess Medical Ctr, 1 Deaconess Road w/cc-540
licensingma.org
ID 41493197
LAST UPDATED 2026-06-05 03:36:40 UTC

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