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Commonwealth of Massachusetts Board of Registration in Medicine Approved Licenses Board Date: 11/5/2015 License No. Physician's Name License Class Training Institution 265194 Atefi, Gelareh FULL 265338 Bale, Tejus A. FULL 265288 Barnes, Nicholas R. FULL 265331 Basa, Sushma Kumari FULL 265392 Beard, Hoyt R. FULL 265373 Boscia, Carolyn A. FULL 265252 Bouret Echevarria, Lissette M. FULL 265029 Bradshaw, Suzanne M. FULL 264970 Cheriyan, Paul G. FULL 264842 Clark, Tavia D. FULL 265115 Coleman, Melissa H. FULL 265289 Darrah, Susan C. FULL 265316 Desai, Urvi S. FULL 265034 DeSalvo, Matthew N. FULL 265328 Evans Wong, Leah R. FULL 265057 Eyler, Christine E. FULL 265195 Fernandez, Diane R. FULL 265260 Heyne, Thomas F. FULL 265267 Hsu, Peggy P. FULL 265323 Khan, Yasmin FULL 265327 Lander, Heather L. FULL 265305 Lauria, Ashley M. FULL 265103 Leung, Katherine J. FULL 263201 Makari, John H. FULL 265359 Nilson, James E. FULL 265312 Oien, Mark B. FULL 265293 Penders, Thomas M. FULL 265297 Pereira, Lionel E. FULL 265363 Peteet, Thomas J. FULL 265273 Petzel, Janis B. FULL 265284 Powell, Jennifer Luo FULL 262993 Prasad, Amit B. FULL 265148 Prinzivalli-Rolfe, Brigitte FULL 265330 Soong, Thing Rinda FULL 265324 Tai, Ryan FULL 11/5/2015 11:42:12 AM Page 1

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Page 1: Board Approved Licenses For Mass. Web viewPlease export to Word. ... Pereira, Lionel E. FULL. 265363. Peteet, Thomas J. FULL. ... Board Approved Licenses For Mass.gov Description:

Commonwealth of MassachusettsBoard of Registration in Medicine

Approved LicensesBoard Date: 11/5/2015

License No. Physician's Name License Class

Training Institution

265194 Atefi, Gelareh FULL265338 Bale, Tejus A. FULL265288 Barnes, Nicholas R. FULL265331 Basa, Sushma Kumari FULL265392 Beard, Hoyt R. FULL265373 Boscia, Carolyn A. FULL265252 Bouret Echevarria, Lissette M. FULL265029 Bradshaw, Suzanne M. FULL264970 Cheriyan, Paul G. FULL264842 Clark, Tavia D. FULL265115 Coleman, Melissa H. FULL265289 Darrah, Susan C. FULL265316 Desai, Urvi S. FULL265034 DeSalvo, Matthew N. FULL265328 Evans Wong, Leah R. FULL265057 Eyler, Christine E. FULL265195 Fernandez, Diane R. FULL265260 Heyne, Thomas F. FULL265267 Hsu, Peggy P. FULL265323 Khan, Yasmin FULL265327 Lander, Heather L. FULL265305 Lauria, Ashley M. FULL265103 Leung, Katherine J. FULL263201 Makari, John H. FULL265359 Nilson, James E. FULL265312 Oien, Mark B. FULL265293 Penders, Thomas M. FULL265297 Pereira, Lionel E. FULL265363 Peteet, Thomas J. FULL265273 Petzel, Janis B. FULL265284 Powell, Jennifer Luo FULL262993 Prasad, Amit B. FULL265148 Prinzivalli-Rolfe, Brigitte FULL265330 Soong, Thing Rinda FULL265324 Tai, Ryan FULL265012 Tom, Albert FULL265374 Valiquet, Justin D. FULL265087 Veerisetty, Sai S. FULL265405 Moore, Justin M. LIMITED Beth Israel Deaconess Medical Center262975 Vadeboncoeur, Sophie LIMITED Boston Children's Hospital265420 Andreu Arasa, Vanesa C. LIMITED Boston Medical Center265353 Kim, Byung M. LIMITED Boston Medical Center

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Page 2: Board Approved Licenses For Mass. Web viewPlease export to Word. ... Pereira, Lionel E. FULL. 265363. Peteet, Thomas J. FULL. ... Board Approved Licenses For Mass.gov Description:

Commonwealth of MassachusettsBoard of Registration in Medicine

Approved LicensesBoard Date: 11/5/2015

265434 Haddad, Ra'ad A. LIMITED Brigham & Women's Hospital265384 Kaplan, Irem LIMITED Brigham & Women's Hospital265248 Barroso De Sousa, Romualdo LIMITED Dana Farber Cancer Institute265410 Grimm, Nicholas J. LIMITED New England Baptist Hospital265411 Kaplin, Lisa T. LIMITED New England Baptist Hospital265439 Porto, Stephanie F. LIMITED UMass Memorial Medical Center

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