DONALD E PENN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

DONALD E

Last Name

PENN JR

Suffix

Business Name

DONALD E PENN JR MD

Original Issue Date

12/07/1999

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

EUREKA

State

Zip

61530

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023