License holder summary

Leif W Ellisen is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Leif W Ellisen is MGH Cancer Center, GRJ-904, 55 Fruit Street, Boston 02114. This licensed professional license is current. The license was granted 06/08/1994 and expired on 07/17/2017.

Massachusetts

Division of Professional Licensure

Leif W Ellisen
Board Of Registration In Medicine
License number
79659
Date granted
06/08/1994
Date expires
07/17/2017
Class
Board Of Registration In Medicine
Status
Active
Address
MGH Cancer Center, GRJ-904, 55 Fruit Street
licensingma.org
ID 41425082
LAST UPDATED 2026-05-24 12:58:21 UTC

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