LAWRENCE A SEMENZA DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

LAWRENCE A

SEMENZA

DO

LAWRENCE A SEMENZA DO

09/28/1987

04/11/2017

09/30/2020

SPRINGFIELD

IL

62711

SANGAMON

II III IV V

N

01/14/2021