License holder summary

Jonathan M Tisdell is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jonathan M Tisdell is 123 Summer Street, Suite 695, Worcester 01608. This licensed professional license is current. The license was granted 08/03/2011 and expired on 10/26/2016.

Massachusetts

Division of Professional Licensure

Jonathan M Tisdell
Board Of Registration In Medicine
License number
248639
Date granted
08/03/2011
Date expires
10/26/2016
Class
Board Of Registration In Medicine
Status
Active
Address
123 Summer Street, Suite 695
licensingma.org
ID 41489546
LAST UPDATED 2024-03-10 23:09:50 UTC

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