ANTONIO RESUMA PENILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060910

License Status

NOT RENEWED

Business

First Name

ANTONIO RESUMA

Last Name

PENILLA

Suffix

Business Name

ANTONIO RESUMA PENILLA MD

Original Issue Date

09/11/1980

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63141

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021