WENTING LI DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****54

ACTIVE

N

DO

WENTING

LI

WENTING LI DO

12/10/2024

12/10/2024

07/31/2026

PEORIA

IL

61605

PEORIA

PRACTITIONER

II III IV V

N

12/10/2024