EDWARD B PENN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059685

License Status

EXPIRED

Business

First Name

EDWARD

Middle

Last Name

PENN

Business Name

EDWARD B PENN

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

08/29/2012