JOHN D PENNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102766

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

PENNER

Business Name

JOHN D PENNER

Original Issue Date

06/21/2000

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011