NICHOLAS DAVID KENNEDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122995

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

DAVID

Last Name

KENNEDY

Suffix

Business Name

NICHOLAS DAVID KENNEDY MD

Original Issue Date

04/01/2009

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

CHESTERTON

State

Zip

46304

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021