License holder summary

Shasta A Kielbasa is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Shasta A Kielbasa is Cooley-Dickinson Hospital, 30 Locust St, Northampton 01061. This licensed professional license is current. The license was granted 02/15/2012 and expired on 01/02/2017.

Massachusetts

Division of Professional Licensure

Shasta A Kielbasa
Board Of Registration In Medicine
License number
250422
Date granted
02/15/2012
Date expires
01/02/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Cooley-Dickinson Hospital, 30 Locust St
licensingma.org
ID 41442893
LAST UPDATED 2024-04-27 17:57:09 UTC

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