JOSEPH F PENSABENE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

JOSEPH F

Last Name

PENSABENE

Suffix

Business Name

JOSEPH F PENSABENE MD

Original Issue Date

04/08/1987

Effective Date

04/08/1987

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008