Department of State
Board of Medicine
IVY LYNN BRACKUP
Medical Physician And Surgeon
License number
MD055955L
Date granted
07/25/1995
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
MALDEN MA 02148
medicinepa.com
ID 37589328
LAST UPDATED 2024-03-06 03:52:25 UTC
LAST UPDATED 2024-03-06 03:52:25 UTC
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