GARDNER T KENNY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

GARDNER T

Last Name

KENNY

Suffix

Business Name

GARDNER T KENNY MD

Original Issue Date

06/04/1993

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023