License holder summary

Richard A Fasanello is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Richard A Fasanello is 90 Southside Avenue, Suite 150, Ashville 28801. This licensed professional license is current. The license was granted 12/17/2014 and expired on 06/19/2017.

Massachusetts

Division of Professional Licensure

Richard A Fasanello
Board Of Registration In Medicine
License number
261363
Date granted
12/17/2014
Date expires
06/19/2017
Class
Board Of Registration In Medicine
Status
Active
Address
90 Southside Avenue, Suite 150
licensingma.org
ID 41426201
LAST UPDATED 2026-05-24 19:08:39 UTC

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