JASIRI KENNEDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034573

License Status

EXPIRED

Business

Title

First Name

JASIRI

Last Name

KENNEDY

Business Name

JASIRI KENNEDY MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006