PATRICK JOSEPH KENNEDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

JOSEPH

Last Name

KENNEDY

Business Name

PATRICK JOSEPH KENNEDY MD

Original Issue Date

03/08/2021

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023