License holder summary

CACCAVALE KENNETH LEE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for CACCAVALE KENNETH LEE is NEW YORK NY. This doctor license is current. The license was granted 06/20/1973 and expired on 03/31/2016.

New York

Board of Licensing

CACCAVALE KENNETH LEE
Medicine (Physician, Including M Ds & D Os)
License number
116401
Date granted
06/20/1973
Date expires
03/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 22437760
LAST UPDATED 2020-10-31 23:57:47 UTC

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