MARIANGELA PENA GONZALEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053718

License Status

EXPIRED

Business

Title

First Name

MARIANGELA

Last Name

PENA GONZALEZ

Business Name

MARIANGELA PENA GONZALEZ MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

07/15/2009