TERRENCE L KENNON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002567

License Status

NOT RENEWED

Business

First Name

TERRENCE

Middle

Last Name

KENNON

Business Name

TERRENCE L KENNON

Original Issue Date

09/12/2005

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016