TABASSUM AHMED KENNEDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152611

License Status

ACTIVE

Business

Title

First Name

TABASSUM

Middle

AHMED

Last Name

KENNEDY

Business Name

TABASSUM AHMED KENNEDY MD

Original Issue Date

04/16/2020

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

MIDDLETON

State

Zip

53562

Ever Disciplined

LastModifiedDate

04/10/2023