LEANDRE DEONTIS KENNEDY DPM - Podiatrist License in Illinois | # 135001212

LEANDRE DEONTIS KENNEDY DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001212

License Status

ACTIVE

Business

N

Title

DPM

First Name

LEANDRE

Middle

DEONTIS

Last Name

KENNEDY

Business Name

LEANDRE DEONTIS KENNEDY DPM

Original Issue Date

08/09/2023

Effective Date

08/09/2023

Expiration Date

08/09/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/09/2023