JAVIER PENA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

JAVIER

Last Name

PENA

Suffix

Business Name

JAVIER PENA JR MD

Original Issue Date

06/27/2014

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017