NICHOLAS DAVID KENNEDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051644

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

DAVID

Last Name

KENNEDY

Suffix

Business Name

NICHOLAS DAVID KENNEDY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/25/2007