KEVIN STEWART KENNEDY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

KEVIN STEWART

Last Name

KENNEDY

Suffix

Business Name

KEVIN STEWART KENNEDY DO

Original Issue Date

11/14/1983

Effective Date

11/14/1983

Expiration Date

07/31/2002

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011