KENNETH E BODEK MD - Medical Doctor License in Massachusetts | # 036075971

KENNETH E BODEK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075971

License Status

INACTIVE

Business

N

First Name

KENNETH E

Last Name

BODEK

Suffix

MD

Business Name

KENNETH E BODEK MD

Original Issue Date

09/15/1987

Effective Date

09/15/1987

Expiration Date

07/31/1990

State

MA

Ever Disciplined

N

LastModifiedDate

09/20/2006