ERIC STEPHEN KENLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

STEPHEN

Last Name

KENLEY

Suffix

Business Name

ERIC STEPHEN KENLEY MD

Original Issue Date

03/28/2007

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011