TODD MICHAEL WENTE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

MD

TODD

MICHAEL

WENTE

TODD MICHAEL WENTE MD

06/21/2011

06/21/2011

07/31/2014

EFFINGHAM

IL

62401

EFFINGHAM

II III IV V

N

11/17/2014