MARIE M KERNIZAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****74

NOT RENEWED

N

MARIE

M

KERNIZAN

MD

MARIE M KERNIZAN MD

09/12/2007

11/16/2020

07/31/2023

CHICAGO

IL

60617

COOK

PRACTITIONER

II III IV V

N

11/30/2023