LOREN D PENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117459

License Status

NOT RENEWED

Business

First Name

LOREN

Middle

Last Name

PENA

Business Name

LOREN D PENA

Original Issue Date

01/16/2007

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014