THOMAS PENG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063394

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

PENG

Suffix

Business Name

THOMAS PENG MD

Original Issue Date

10/19/1981

Effective Date

10/19/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006