KIPP W KENNEDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018007

License Status

EXPIRED

Business

First Name

KIPP W

Last Name

KENNEDY

Suffix

Business Name

KIPP W KENNEDY MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006