ANTHONY PHILIP DE LA PENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149432

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

PHILIP

Last Name

DE LA PENA

Business Name

ANTHONY PHILIP DE LA PENA MD

Original Issue Date

05/22/2019

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023