License holder summary

Kelan Tantisira is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Kelan Tantisira is Channing Division of Network Medicine, Brigham and, 181 Longwood Ave., Boston 02115. This licensed professional license is current. The license was granted 03/24/1999 and expired on 10/27/2017.

Massachusetts

Division of Professional Licensure

Kelan Tantisira
Board Of Registration In Medicine
License number
155411
Date granted
03/24/1999
Date expires
10/27/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Channing Division of Network Medicine, Brigham and, 181 Longwood Ave.
licensingma.org
ID 41487989
LAST UPDATED 2026-04-24 03:42:36 UTC

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