ROBERT DAVID KENNISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037455

License Status

NOT RENEWED

Business

First Name

ROBERT DAVID

Last Name

KENNISON

Suffix

Business Name

ROBERT DAVID KENNISON MD

Original Issue Date

10/16/1961

Effective Date

10/16/1961

City

BOSTON

State

Zip

02111

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006