License holder summary

Kathryn Kathryn L L Fantasia aka: Molt is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Kathryn Kathryn L L Fantasia aka: Molt is 72 East Concord Street, Evans 124, Boston 02118. This licensed professional license is current. The license was granted 05/05/2016 and expired on 07/21/2017.

Massachusetts

Division of Professional Licensure

Kathryn Kathryn L L Fantasia aka: Molt
Board Of Registration In Medicine
License number
265826
Date granted
05/05/2016
Date expires
07/21/2017
Class
Board Of Registration In Medicine
Status
Active
Address
72 East Concord Street, Evans 124
licensingma.org
ID 41426025
LAST UPDATED 2024-04-03 03:42:10 UTC

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