OLGA L PENAHERRERA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

OLGA

Middle

Last Name

PENAHERRERA

Business Name

OLGA L PENAHERRERA

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006