DENNIS U ATIENZA DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

DENNIS

U

ATIENZA

DO

DENNIS U ATIENZA DO

11/28/2006

06/15/2011

07/31/2014

ROBINSON

IL

62454

CRAWFORD

PRACTITIONER

II III IV V

N

11/17/2014