License holder summary

M. Theresa S Fasano is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for M. Theresa S Fasano is Berkshire Medical Center, 725 North Street, Pittsfield 01201. This licensed professional license is current. The license was granted 04/02/2008 and expired on 07/12/2016.

Massachusetts

Division of Professional Licensure

M. Theresa S Fasano
Board Of Registration In Medicine
License number
234577
Date granted
04/02/2008
Date expires
07/12/2016
Class
Board Of Registration In Medicine
Status
Active
Address
Berkshire Medical Center, 725 North Street
licensingma.org
ID 41426204
LAST UPDATED 2024-03-23 13:27:29 UTC

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