TED R ALTENAU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

TED R

ALTENAU

MD

TED R ALTENAU MD

11/30/1983

11/30/1983

07/31/1987

SILVIS

IL

61282

ROCK ISLAND

II III IV V

N

09/26/2006