JAMES ALAN MCPENCOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

ALAN

Last Name

MCPENCOW

Business Name

JAMES ALAN MCPENCOW MD

Original Issue Date

12/27/2022

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

CROWN POINT

State

Zip

46307

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023