JAMIE S PENK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

JAMIE

Middle

Last Name

PENK

Suffix

Business Name

JAMIE S PENK MD

Original Issue Date

05/21/2008

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023