ERIN JENENNE KENNEDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140539

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

JENENNE

Last Name

KENNEDY

Business Name

ERIN JENENNE KENNEDY MD

Original Issue Date

05/02/2016

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

11/30/2023