KATHLEEN M MCKENNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

MCKENNA

Suffix

Business Name

KATHLEEN M MCKENNA MD

Original Issue Date

08/16/1994

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011