LAURENCE DEAN KANTER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

NOT RENEWED

N

LAURENCE DEAN

KANTER

MD

LAURENCE DEAN KANTER MD

12/04/2002

12/04/2002

07/31/2005

PEORIA

IL

61614

PEORIA

II III IV V

N

04/07/2011