ANTHONY VITO PENSA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075661

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

VITO

Last Name

PENSA

Business Name

ANTHONY VITO PENSA MD

Original Issue Date

06/21/2020

Effective Date

06/21/2020

Expiration Date

06/29/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/08/2020