License Directory

Mary Susan Basol Kennedy Md

Expired

Illinois license 036050464

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050464
Status
Expired (Not Renewed)
First issued
January 30, 1975
License holder
Mary Susan Basol Kennedy Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/30/1975

Contact

Muskogee, OK 74401
Oklahoma County