SARAH J MC KENNA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

MC KENNA

Business Name

SARAH J MC KENNA

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008