JOHN D PENNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

PENNER

Business Name

JOHN D PENNER

Original Issue Date

10/02/2000

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011