JOHN D PENNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034827

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

PENNER

Business Name

JOHN D PENNER

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006