HARVEY JOEL PENZINER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****14

NOT RENEWED

N

HARVEY JOEL

PENZINER

MD

HARVEY JOEL PENZINER MD

11/22/1993

11/22/1993

07/31/2008

PEORIA

IL

61614

PEORIA

II III IV V

N

11/06/2008