CHRISTINE ARETY PENSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINE

Middle

ARETY

Last Name

PENSO

Business Name

CHRISTINE ARETY PENSO MD

Original Issue Date

10/29/2019

Effective Date

10/29/2019

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021