SANDRA MARIE PENA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150456

License Status

ACTIVE

Business

Title

First Name

SANDRA

Middle

MARIE

Last Name

PENA

Business Name

SANDRA MARIE PENA MD

Original Issue Date

08/08/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023