ANDREW YENHAO PENG Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047977

License Status

CANCELLED

Business

First Name

ANDREW

Middle

YENHAO

Last Name

PENG

Business Name

ANDREW YENHAO PENG

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006