License holder summary

Michael J DiClemente is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Michael J DiClemente is Two St. Mark's Place, Suite 104, La Grange 78932. This licensed professional license is current. The license was granted 09/12/2001 and expired on 02/05/2017.

Massachusetts

Division of Professional Licensure

Michael J DiClemente
Board Of Registration In Medicine
License number
212771
Date granted
09/12/2001
Date expires
02/05/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Two St. Mark's Place, Suite 104
licensingma.org
ID 41423018
LAST UPDATED 2026-05-28 04:01:18 UTC

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