ROBERT A PENN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

PENN

Suffix

Business Name

ROBERT A PENN MD

Original Issue Date

04/29/1987

Effective Date

04/29/1987

Expiration Date

07/31/1993

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006