MARK PODBEREZIN MD - Medical Doctor License in Massachusetts | # 125051820

MARK PODBEREZIN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051820

License Status

CANCELLED

Business

N

First Name

MARK

Last Name

PODBEREZIN

Suffix

MD

Business Name

MARK PODBEREZIN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

12/31/2010

State

MA

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

06/18/2009