ALLAN C GENTEMAN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****40

NOT RENEWED

N

ALLAN

C

GENTEMAN

DO

ALLAN C GENTEMAN DO

04/14/1997

04/14/1997

07/31/1999

NASHVILLE

IL

62263

WASHINGTON

II III IV V

N

10/09/2006