ASHLEIGH JORDAN KENNEDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

ASHLEIGH

Middle

JORDAN

Last Name

KENNEDY

Business Name

ASHLEIGH JORDAN KENNEDY MD

Original Issue Date

07/01/2019

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023