KENNETH H INOUE

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****72

ACTIVE

N

KENNETH H

INOUE

KENNETH H INOUE

07/26/1995

06/23/2023

07/31/2026

BLOOMINGTON

IL

61701

MCLEAN

II III IV V

N

06/23/2023