REBECCA J KENNEDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

REBECCA J

Last Name

KENNEDY

Suffix

Business Name

REBECCA J KENNEDY MD

Original Issue Date

06/18/1996

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023