TERRENCE L KENNON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

TERRENCE

Middle

Last Name

KENNON

Business Name

TERRENCE L KENNON

Original Issue Date

10/17/2005

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016