CHARLES MARSHALL KENNEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

CHARLES MARSHALL

Last Name

KENNEY

Suffix

Business Name

CHARLES MARSHALL KENNEY MD

Original Issue Date

01/01/1997

Effective Date

12/17/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023