License holder summary

Kenneth D Polivy is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Kenneth D Polivy is 2000 Washington Street, # 341, Newton 02462. This licensed professional license is current. The license was granted 02/19/1981 and expired on 01/16/2017.

Massachusetts

Division of Professional Licensure

Kenneth D Polivy
Board Of Registration In Medicine
License number
47345
Date granted
02/19/1981
Date expires
01/16/2017
Class
Board Of Registration In Medicine
Status
Active
Address
2000 Washington Street, # 341
licensingma.org
ID 41467442
LAST UPDATED 2026-03-20 12:54:40 UTC

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