SHAWN R KENNEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034920

License Status

EXPIRED

Business

First Name

SHAWN

Middle

Last Name

KENNEY

Business Name

SHAWN R KENNEY

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006