NICOLE LYNETTE KENNEDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132187

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

LYNETTE

Last Name

KENNEDY

Business Name

NICOLE LYNETTE KENNEDY MD

Original Issue Date

04/01/2013

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/02/2023