BERNARD V KENNEDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004299

License Status

NOT RENEWED

Business

First Name

BERNARD

Middle

Last Name

KENNEDY

Business Name

BERNARD V KENNEDY

Original Issue Date

03/26/2012

Effective Date

01/22/2020

Expiration Date

03/01/2022

City

WAUNAKEE

State

Zip

53597

Ever Disciplined

LastModifiedDate

07/27/2022