HOMER PENA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006272

License Status

NOT RENEWED

Business

Business Name

HOMER PENA MD SC

Original Issue Date

11/07/1987

Effective Date

11/07/1987

Expiration Date

01/01/1989

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/26/2006