MATTHEW A HAVERKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115050

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

HAVERKAMP

Suffix

Business Name

MATTHEW A HAVERKAMP MD

Original Issue Date

12/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BOSTON

State

Zip

02118

Ever Disciplined

LastModifiedDate

11/06/2008