GEORGE S LAKNER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

GEORGE

S

LAKNER

MD

GEORGE S LAKNER MD

06/15/1989

10/08/2008

07/31/2011

PEORIA

IL

61614

PEORIA

II III IV V

N

11/10/2011