MIGUEL ANGEL PENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047803

License Status

EXPIRED

Business

Title

First Name

MIGUEL

Middle

ANGEL

Last Name

PENA

Business Name

MIGUEL ANGEL PENA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

12/31/2010

City

CHESTERTON

State

Zip

46304

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2011