LISA PENG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104558

License Status

ACTIVE

Business

First Name

LISA

Last Name

PENG

Suffix

Business Name

LISA PENG MD

Original Issue Date

04/19/2001

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023