LAURA FRESE KENNEDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005876

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

FRESE

Last Name

KENNEDY

Business Name

LAURA FRESE KENNEDY

Original Issue Date

07/06/2016

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022