BIANCA MARIA KENYON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065935

License Status

EXPIRED

Business

Title

First Name

BIANCA

Middle

MARIA

Last Name

KENYON

Business Name

BIANCA MARIA KENYON MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015