MARITZA DEL PILAR DE LA PENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052278

License Status

EXPIRED

Business

Title

First Name

MARITZA

Middle

DEL PILAR

Last Name

DE LA PENA

Business Name

MARITZA DEL PILAR DE LA PENA MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

LITITZ

State

Zip

17543

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010