THAD W PENN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026671

License Status

INACTIVE

Business

First Name

THAD W

Last Name

PENN

Suffix

Business Name

THAD W PENN MD

Original Issue Date

02/18/1946

Effective Date

02/18/1946

Expiration Date

07/31/1996

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006