TIMOTHY JOSEPH PENN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092240

License Status

ACTIVE

Business

First Name

TIMOTHY JOSEPH

Last Name

PENN

Suffix

Business Name

TIMOTHY JOSEPH PENN MD

Original Issue Date

12/12/1995

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/29/2024