CARLIE REBECCA KENNEDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057484

License Status

EXPIRED

Business

First Name

CARLIE

Middle

REBECCA

Last Name

KENNEDY

Suffix

Business Name

CARLIE REBECCA KENNEDY MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013