DEE E FENNER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

NOT RENEWED

N

DEE E

FENNER

MD

DEE E FENNER MD

07/07/1989

07/07/1989

07/31/2002

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006