LEANDRE DEONTIS KENNEDY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001212

License Status

ACTIVE

Business

Title

DPM

First Name

LEANDRE

Middle

DEONTIS

Last Name

KENNEDY

Business Name

LEANDRE DEONTIS KENNEDY DPM

Original Issue Date

08/09/2023

Effective Date

08/09/2023

Expiration Date

08/09/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

08/09/2023