License holder summary

Masanori Ichise is a Board Of Registration In Medicine licensed to practice in Massachusetts. This licensed professional license is not current. The license was granted 11/17/2004 and expired on 01/24/2014.

Massachusetts

Division of Professional Licensure

Masanori Ichise
Board Of Registration In Medicine
License number
223255
Date granted
11/17/2004
Date expires
01/24/2014
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41437968
LAST UPDATED 2026-04-11 07:36:02 UTC

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