PATRICK C MA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109288

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

Suffix

Business Name

PATRICK C MA MD

Original Issue Date

05/20/2003

Effective Date

05/20/2003

Expiration Date

07/31/2005

City

ALLSTON

State

Zip

02134

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/14/2014