KENNETH MICHAEL PALANZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078913

License Status

EXPIRED

Business

Title

First Name

KENNETH

Middle

MICHAEL

Last Name

PALANZA

Business Name

KENNETH MICHAEL PALANZA MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024