JUAN CARLOS DIEGO PENHOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102097

License Status

NOT RENEWED

Business

First Name

JUAN CARLOS

Middle

DIEGO

Last Name

PENHOS

Suffix

Business Name

JUAN CARLOS DIEGO PENHOS MD

Original Issue Date

03/09/2000

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

TIFFIN

State

Zip

44883

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017