ROBERT DAVID KENNISON MD - Medical Doctor License in Massachusetts | # 036037455

ROBERT DAVID KENNISON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037455

License Status

NOT RENEWED

Business

N

First Name

ROBERT DAVID

Last Name

KENNISON

Suffix

MD

Business Name

ROBERT DAVID KENNISON MD

Original Issue Date

10/16/1961

Effective Date

10/16/1961

State

MA

Ever Disciplined

N

LastModifiedDate

09/20/2006