MANEESH SURESH PENKAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000919

License Status

EXPIRED

Business

Title

First Name

MANEESH

Middle

SURESH

Last Name

PENKAR

Business Name

MANEESH SURESH PENKAR MD

Original Issue Date

10/22/2012

Effective Date

10/22/2012

Expiration Date

11/21/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

01/11/2013