ANDREA R PENEPACKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103139

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

PENEPACKER

Suffix

Business Name

ANDREA R PENEPACKER MD

Original Issue Date

07/25/2000

Effective Date

01/04/2007

Expiration Date

07/31/2008

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008