TENNISON LEWIS MALCOLM MD - Medical Doctor License in Massachusetts | # 036155833

TENNISON LEWIS MALCOLM MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155833

License Status

ACTIVE

Business

N

Title

MD

First Name

TENNISON

Middle

LEWIS

Last Name

MALCOLM

Business Name

TENNISON LEWIS MALCOLM MD

Original Issue Date

03/01/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

State

MA

Ever Disciplined

N

LastModifiedDate

02/14/2025