LAURA FRESE KENNEDY - Physician Assistant License in Illinois | # 085005876

LAURA FRESE KENNEDY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005876

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

FRESE

Last Name

KENNEDY

Business Name

LAURA FRESE KENNEDY

Original Issue Date

07/06/2016

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022