License holder summary

Lisa M Banta is a Board Of Registration In Medicine licensed to practice in Massachusetts. This licensed professional license is not current. The license was granted 10/04/2006 and expired on 07/02/2007.

Massachusetts

Division of Professional Licensure

Lisa M Banta
Board Of Registration In Medicine
License number
230248
Date granted
10/04/2006
Date expires
07/02/2007
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41411121
LAST UPDATED 2026-04-21 00:19:24 UTC

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