Massachusetts
Division of Professional Licensure
Kevin J Ennis
Board Of Registration In Medicine
License number
225012
Date granted
05/18/2005
Date expires
12/29/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Center for Healthy Aging, Lahey Outpatient Center, 480 Maple St Suite 201
licensingma.org
ID 41425341
LAST UPDATED 2026-03-25 09:25:05 UTC
LAST UPDATED 2026-03-25 09:25:05 UTC
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