FILLMORE KENNETH BAGATELL
Medical Physician And Surgeon
Pennsylvania MD010613E Deceased
This Pennsylvania license was held by FILLMORE KENNETH BAGATELL. The license is no longer active. It was granted on 10/24/1968 and expired on 12/31/1990
LICENSE DETAILS
- License Number: MD010613E
- Category: Medical Physician and Surgeon
- Status: Deceased
- Date Granted: 10/24/1968 (over 55 years ago)
- Expiry Date: 12/31/1990 (over 33 years ago)
LOCATIONS
A Address
PHOENIX AZ 85004