License holder summary

Lise Carolyn Johnson is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Lise Carolyn Johnson is Dept. of Newborn Medicine, 75 Francis St, CWN-418, Boston 02115. This licensed professional license is current. The license was granted 06/12/1991 and expired on 08/19/2016.

Massachusetts

Division of Professional Licensure

Lise Carolyn Johnson
Board Of Registration In Medicine
License number
74261
Date granted
06/12/1991
Date expires
08/19/2016
Class
Board Of Registration In Medicine
Status
Active
Address
Dept. of Newborn Medicine, 75 Francis St, CWN-418
licensingma.org
ID 41439613
LAST UPDATED 2026-05-16 17:25:25 UTC

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