KENNEDIE LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011206

License Status

ACTIVE

Business

First Name

KENNEDIE

Last Name

LEWIS

Business Name

KENNEDIE LEWIS

Original Issue Date

03/17/2025

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

01/29/2026