JUSTIN JACOB KOENIG DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DO

JUSTIN

JACOB

KOENIG

JUSTIN JACOB KOENIG DO

09/19/2014

09/19/2014

07/31/2017

OLYMPIA FIELDS

IL

60461

COOK

PRACTITIONER

II III IV V

N

11/01/2017