MARITZA DEL PILAR DE LA PENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

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

10/02/2009

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

WYOMISSING

State

Zip

19610

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014