HENRIK MIKE-MAYER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

NOT RENEWED

N

HENRIK

MIKE-MAYER

MD

HENRIK MIKE-MAYER MD

01/15/2002

01/15/2002

07/31/2008

DECATUR

IL

62526

MACON

II III IV V

N

11/06/2008