ALISON M LENTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

NOT RENEWED

N

ALISON

M

LENTZ

MD

ALISON M LENTZ MD

03/11/1998

03/11/1998

07/31/2002

STERLING

IL

61081

WHITESIDE

II III IV V

N

10/09/2006