JEFFREY A KENNY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050532

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

Last Name

KENNY

Suffix

Business Name

JEFFREY A KENNY MD

Original Issue Date

10/01/2005

Effective Date

10/01/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006