WILLARD LEE KENNEDY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053715

License Status

NOT RENEWED

Business

First Name

WILLARD LEE

Last Name

KENNEDY

Business Name

WILLARD LEE KENNEDY

Original Issue Date

10/14/1976

Effective Date

10/14/1976

City

LOUISVILLE

State

Zip

40291

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006