JASON ENSLEY KENNEDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049594

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

ENSLEY

Last Name

KENNEDY

Business Name

JASON ENSLEY KENNEDY MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008