DIANA LYNN KENYON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

LYNN

Last Name

KENYON

Business Name

DIANA LYNN KENYON DO

Original Issue Date

03/31/2016

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023