BRENT LEE PENNINGTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128430

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

LEE

Last Name

PENNINGTON

Business Name

BRENT LEE PENNINGTON MD

Original Issue Date

07/11/2011

Effective Date

08/18/2014

Expiration Date

07/31/2017

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2013008927

Action

Fine

Discipline Start Date

03/17/2014

Discipline Reason

for prior discipline in Texas and for failure to disclose a reckless driving conviction in his 2010 and 2011 Illinois license applications.