JESSICA MASCHIN KENNEDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055777

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

MASCHIN

Last Name

KENNEDY

Business Name

JESSICA MASCHIN KENNEDY MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2009