ROBERT A PENN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074569

License Status

INACTIVE

Business

First Name

ROBERT A

Last Name

PENN

Suffix

Business Name

ROBERT A PENN MD

Original Issue Date

03/07/1987

Effective Date

03/07/1987

Expiration Date

07/31/1993

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006