KRISTEN NICOLE KENAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

KRISTEN

Middle

NICOLE

Last Name

KENAN

Business Name

KRISTEN NICOLE KENAN MD

Original Issue Date

04/23/2014

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023