Massachusetts
Division of Professional Licensure
Tara D Director
Board Of Registration In Medicine
License number
214478
Date granted
06/12/2002
Date expires
04/06/2005
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41423241
LAST UPDATED 2026-06-10 03:42:22 UTC
LAST UPDATED 2026-06-10 03:42:22 UTC
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