HAROLD G KOENIG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****15

NOT RENEWED

N

HAROLD G

KOENIG

MD

HAROLD G KOENIG MD

07/01/1985

07/01/1985

07/31/1987

SPRINGFIELD

IL

62702

SANGAMON

II III IV V

N

09/26/2006