MARK W PENN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085370

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

PENN

Suffix

Business Name

MARK W PENN MD

Original Issue Date

09/17/1992

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

SAN DIEGO

State

Zip

92103

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/25/2018