KENTON A PATE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

KENTON A

PATE

MD

KENTON A PATE MD

07/28/1982

07/28/1982

07/31/1984

CHICAGO

IL

60622

COOK

II III IV V

N

09/26/2006