KENYA M KIDD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002957

License Status

NOT RENEWED

Business

First Name

KENYA

Middle

Last Name

KIDD

Business Name

KENYA M KIDD

Original Issue Date

04/04/2007

Effective Date

03/09/2022

Expiration Date

03/01/2024

City

MOBILE

State

Zip

36618

County

ALABAMA

Ever Disciplined

LastModifiedDate

02/05/2025