MICHAEL J SHAENBOEN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****57

NOT RENEWED

N

MICHAEL J

SHAENBOEN

DO

MICHAEL J SHAENBOEN DO

09/29/1987

09/29/1987

07/31/2002

OLYMPIA FIELDS

IL

60461

COOK

II III IV V

N

10/09/2006