JAMES ALAN MCPENCOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

ALAN

Last Name

MCPENCOW

Business Name

JAMES ALAN MCPENCOW MD

Original Issue Date

05/16/2016

Effective Date

05/16/2016

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020