JASON ENSLEY KENNEDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120842

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

ENSLEY

Last Name

KENNEDY

Business Name

JASON ENSLEY KENNEDY MD

Original Issue Date

05/13/2008

Effective Date

05/13/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011