Massachusetts
Division of Professional Licensure
Teri Scott Formanek
Board Of Registration In Medicine
License number
74544
Date granted
07/03/1991
Date expires
02/22/2000
Class
Board Of Registration In Medicine
Status
Lapsed
licensingma.org
ID 41427677
LAST UPDATED 2026-09-07 03:21:07 UTC
LAST UPDATED 2026-09-07 03:21:07 UTC
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