MICHAEL ROBERT FETTIPLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166732

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ROBERT

Last Name

FETTIPLACE

Business Name

MICHAEL ROBERT FETTIPLACE MD

Original Issue Date

08/25/2023

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

EAST BOSTON

State

Zip

02128

Ever Disciplined

LastModifiedDate

08/25/2023