MEVA A KENNEDY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

INOPERATIVE

Business

First Name

MEVA

Middle

Last Name

KENNEDY

Business Name

MEVA A KENNEDY

Original Issue Date

06/02/2004

Effective Date

12/19/2011

Expiration Date

03/01/2014

City

CHILLICOTHE

State

Zip

45601

Ever Disciplined

LastModifiedDate

02/25/2014