MARK PODBEREZIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051820

License Status

CANCELLED

Business

First Name

MARK

Last Name

PODBEREZIN

Suffix

Business Name

MARK PODBEREZIN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

12/31/2010

City

BURLINGTON

State

Zip

01803

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

06/18/2009