JUAN MANUEL MUNOZ-PENA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059069

License Status

CANCELLED

Business

Title

First Name

JUAN

Middle

MANUEL

Last Name

MUNOZ-PENA

Business Name

JUAN MANUEL MUNOZ-PENA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014