PENNY LARUTH WHITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

PENNY

Middle

LARUTH

Last Name

WHITE

Business Name

PENNY LARUTH WHITE MD

Original Issue Date

03/11/2010

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

WEST CHICAGO

State

Zip

60185

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023