MARY KATHERINE KENNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

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

02/25/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026