LISA NATALIE BELLANFONTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171511

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

NATALIE

Last Name

BELLANFONTE

Business Name

LISA NATALIE BELLANFONTE MD

Original Issue Date

08/09/2024

Effective Date

08/09/2024

Expiration Date

07/31/2026

City

BOSTON

State

Zip

02109

Ever Disciplined

LastModifiedDate

08/09/2024