RENE P PENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048565

License Status

NOT RENEWED

Business

First Name

RENE P

Last Name

PENA

Suffix

Business Name

RENE P PENA MD

Original Issue Date

12/18/1973

Effective Date

12/18/1973

Expiration Date

07/31/1993

City

LAS VEGAS

State

Zip

89109

County

NEVADA

Ever Disciplined

LastModifiedDate

09/20/2006