JULIAN DAVID CARRION PENAGOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075467

License Status

CANCELLED

Business

Title

First Name

JULIAN

Middle

DAVID

Last Name

CARRION PENAGOS

Business Name

JULIAN DAVID CARRION PENAGOS MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

01/14/2021