SCOTT A ENSMINGER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

SCOTT

A

ENSMINGER

DO

SCOTT A ENSMINGER DO

08/29/2000

08/29/2000

07/31/2002

LEMONT

IL

60439

COOK

II III IV V

N

10/09/2006