KURT CHARLES FABRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105409

License Status

NOT RENEWED

Business

First Name

KURT

Middle

CHARLES

Last Name

FABRICK

Suffix

Business Name

KURT CHARLES FABRICK MD

Original Issue Date

08/14/2001

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

BROOKLINE

State

Zip

02445

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017