MARY H KENNY HANESSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MARY H

Middle

KENNY

Last Name

HANESSIAN

Suffix

Business Name

MARY H KENNY HANESSIAN MD

Original Issue Date

08/07/2008

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017