CHARLES ALLEN BIRBARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040739

License Status

NOT RENEWED

Business

First Name

CHARLES ALLEN

Last Name

BIRBARA

Suffix

Business Name

CHARLES ALLEN BIRBARA MD

Original Issue Date

10/24/1966

Effective Date

10/24/1966

Expiration Date

07/31/1984

City

WORCESTER

State

Zip

01609

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006