WILLIAM PENNIMAN MOSENTHAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

PENNIMAN

Last Name

MOSENTHAL

Business Name

WILLIAM PENNIMAN MOSENTHAL MD

Original Issue Date

04/12/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023