MARY KATHERINE KENNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005526

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHERINE

Last Name

KENNEY

Business Name

MARY KATHERINE KENNEY

Original Issue Date

07/06/2015

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/09/2026