KENYATTA D NORMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128850

License Status

ACTIVE

Business

Title

First Name

KENYATTA

Middle

Last Name

NORMAN

Business Name

KENYATTA D NORMAN MD

Original Issue Date

08/24/2011

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

SLEEPY HOLLOW

State

Zip

60118

Ever Disciplined

LastModifiedDate

06/24/2023