ROGER A HANDTKE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

ROGER A

HANDTKE

DO

ROGER A HANDTKE DO

11/30/1990

11/30/1990

07/31/1993

CALUMET CITY

IL

60409

COOK

II III IV V

N

09/26/2006