IRVIN B KRUKENKAMP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067691

License Status

INACTIVE

Business

First Name

IRVIN B

Last Name

KRUKENKAMP

Suffix

Business Name

IRVIN B KRUKENKAMP MD

Original Issue Date

09/30/1983

Effective Date

09/30/1983

Expiration Date

07/31/1990

City

FRAMINGHAM

State

Zip

01701

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006