ERIC STEPHEN KENLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048121

License Status

EXPIRED

Business

First Name

ERIC

Middle

STEPHEN

Last Name

KENLEY

Suffix

Business Name

ERIC STEPHEN KENLEY MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007