DENNIS L ABERNATHIE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

DENNIS L

ABERNATHIE

MD

DENNIS L ABERNATHIE MD

01/01/1997

09/01/1982

SPRINGFIELD

IL

62708

SANGAMON

II III IV V

N

09/26/2006