KATHERINE EDITH KENNEDY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DPM

First Name

KATHERINE

Middle

EDITH

Last Name

KENNEDY

Business Name

KATHERINE EDITH KENNEDY DPM

Original Issue Date

04/03/2014

Effective Date

05/28/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017