MICHAEL KENT HOUSER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

NOT RENEWED

N

MICHAEL KENT

HOUSER

MD

MICHAEL KENT HOUSER MD

09/27/1982

09/27/1982

07/31/1984

PEORIA

IL

61603

PEORIA

II III IV V

N

09/26/2006