MIGUEL ANGEL PENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130512

License Status

ACTIVE

Business

Title

First Name

MIGUEL

Middle

ANGEL

Last Name

PENA

Business Name

MIGUEL ANGEL PENA MD

Original Issue Date

06/07/2012

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/23/2023