BRENT LEE PENNINGTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057774

License Status

CANCELLED

Business

Title

First Name

BRENT

Middle

LEE

Last Name

PENNINGTON

Business Name

BRENT LEE PENNINGTON MD

Original Issue Date

05/13/2010

Effective Date

05/13/2010

Expiration Date

05/12/2012

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2010