ALEXIS FERNANDO MENA PENAFIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085557

License Status

ACTIVE

Business

Title

First Name

ALEXIS

Middle

FERNANDO

Last Name

MENA PENAFIEL

Business Name

ALEXIS FERNANDO MENA PENAFIEL MD

Original Issue Date

06/22/2025

Effective Date

06/22/2025

Expiration Date

06/21/2028

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2025