JASON LEE PENG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068885

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

LEE

Last Name

PENG

Business Name

JASON LEE PENG MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/03/2016