ALAN ELLIOTT BENTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

MD

ALAN

ELLIOTT

BENTZ

ALAN ELLIOTT BENTZ MD

11/30/1994

11/30/1994

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006