MONA ANITA KENNEDY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152240

License Status

ACTIVE

Business

First Name

MONA

Middle

ANITA

Last Name

KENNEDY

Business Name

MONA ANITA KENNEDY

Original Issue Date

03/19/2020

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

HUNTINGTON STATION

State

Zip

11746

Ever Disciplined

LastModifiedDate

12/11/2023