MARK ALVIN KEROACK MD - Medical Doctor License in Massachusetts | # 036104691

MARK ALVIN KEROACK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104691

License Status

INACTIVE

Business

N

First Name

MARK

Middle

ALVIN

Last Name

KEROACK

Suffix

MD

Business Name

MARK ALVIN KEROACK MD

Original Issue Date

05/14/2001

Effective Date

04/12/2011

Expiration Date

07/31/2014

State

MA

Ever Disciplined

N

LastModifiedDate

07/21/2014