PHILIP J PENROSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040826

License Status

EXPIRED

Business

First Name

PHILIP

Middle

Last Name

PENROSE

Suffix

Business Name

PHILIP J PENROSE MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006