GREGORY D KENNEDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135475

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

Last Name

KENNEDY

Business Name

GREGORY D KENNEDY MD

Original Issue Date

06/11/2014

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017