KENNETH M LEAVITT DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003483

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

LEAVITT

Suffix

DPM

Business Name

KENNETH M LEAVITT DPM

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1997

City

WILMINGTON

State

Zip

01887

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/25/2006