JAMES J S PENG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JAMES J S

Last Name

PENG

Business Name

JAMES J S PENG

Original Issue Date

04/15/1991

Effective Date

04/15/1991

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011