STEPHEN T PENEPACKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107016

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

PENEPACKER

Business Name

STEPHEN T PENEPACKER

Original Issue Date

05/20/2002

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

ARROYO GRANDE

State

Zip

93420

Ever Disciplined

LastModifiedDate

11/30/2023