License holder summary

Renee M Dallasen is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Renee M Dallasen is 55 Lake Avenue North, Worcester 01655. This licensed professional license is current. The license was granted 03/19/2015 and expired on 01/30/2018.

Massachusetts

Division of Professional Licensure

Renee M Dallasen
Board Of Registration In Medicine
License number
262140
Date granted
03/19/2015
Date expires
01/30/2018
Class
Board Of Registration In Medicine
Status
Active
Address
55 Lake Avenue North
licensingma.org
ID 41421369
LAST UPDATED 2026-05-10 12:07:02 UTC

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