TOM J KENNEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

TOM J

Last Name

KENNEY

Suffix

Business Name

TOM J KENNEY MD

Original Issue Date

09/11/1991

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021