License holder summary

Mauricio A Villavicencio-Theoduloz is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Mauricio A Villavicencio-Theoduloz is 55 Fruit Street, Massachusetts General Hospital, Cox 6, Boston 02114. This licensed professional license is current. The license was granted 07/02/2015 and expired on 02/12/2018.

Massachusetts

Division of Professional Licensure

Mauricio A Villavicencio-Theoduloz
Board Of Registration In Medicine
License number
264532
Date granted
07/02/2015
Date expires
02/12/2018
Class
Board Of Registration In Medicine
Status
Active
Address
55 Fruit Street, Massachusetts General Hospital, Cox 6
licensingma.org
ID 41492454
LAST UPDATED 2026-04-16 09:12:31 UTC

This website is unaffiliated with the Division of Professional Licensure. Please verify all information directly with the relevant official government authority.

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