TERRENCE L PENCEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013607

License Status

EXPIRED

Business

First Name

TERRENCE L

Last Name

PENCEK

Suffix

Business Name

TERRENCE L PENCEK MD

Original Issue Date

12/30/1981

Effective Date

12/30/1981

Expiration Date

12/28/1983

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/24/2013