RENATO G JUDALENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

RENATO G

Last Name

JUDALENA

Suffix

Business Name

RENATO G JUDALENA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

KEWANEE

State

Zip

61443

County

HENRY

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006