KENNETH E BODEK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075971

License Status

INACTIVE

Business

First Name

KENNETH E

Last Name

BODEK

Suffix

Business Name

KENNETH E BODEK MD

Original Issue Date

09/15/1987

Effective Date

09/15/1987

Expiration Date

07/31/1990

City

WESTFIELD

State

Zip

01085

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006