DAVID S PEZEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028845

License Status

EXPIRED

Business

First Name

DAVID S

Last Name

PEZEN

Business Name

DAVID S PEZEN

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006