RICHARD D PENN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047712

License Status

ACTIVE

Business

First Name

RICHARD D

Last Name

PENN

Suffix

Business Name

RICHARD D PENN MD

Original Issue Date

08/17/1973

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2023