MICHAEL J MCKENNA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069444

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

MCKENNA

Prefix

Business Name

MICHAEL J MCKENNA DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022