MARK W PENN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024674

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

PENN

Suffix

Business Name

MARK W PENN MD

Original Issue Date

04/28/1990

Effective Date

04/28/1990

Expiration Date

06/21/1993

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006