KERSHA SAMANTHA PENNICOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162417

License Status

NOT RENEWED

Business

Title

First Name

KERSHA

Middle

SAMANTHA

Last Name

PENNICOTT

Business Name

KERSHA SAMANTHA PENNICOTT MD

Original Issue Date

09/22/2022

Effective Date

09/22/2022

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10019

Ever Disciplined

LastModifiedDate

11/30/2023