License holder summary

Stephanie L Koontz is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Stephanie L Koontz is OB/GYN-Harvard Vanguard, 40 Holland Street, Somerville 02144. This licensed professional license is current. The license was granted 06/02/2004 and expired on 11/27/2016.

Massachusetts

Division of Professional Licensure

Stephanie L Koontz
Board Of Registration In Medicine
License number
220863
Date granted
06/02/2004
Date expires
11/27/2016
Class
Board Of Registration In Medicine
Status
Active
Address
OB/GYN-Harvard Vanguard, 40 Holland Street
licensingma.org
ID 41444535
LAST UPDATED 2024-02-14 05:47:08 UTC

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