KENNETH DANIEL BRANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037578

License Status

NOT RENEWED

Business

First Name

KENNETH DANIEL

Last Name

BRANDT

Suffix

Business Name

KENNETH DANIEL BRANDT MD

Original Issue Date

11/30/1961

Effective Date

11/30/1961

City

BOSTON

State

Zip

02118

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006