ALAN J KOFFRON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

NOT RENEWED

N

ALAN

J

KOFFRON

MD

ALAN J KOFFRON MD

08/03/2001

08/03/2001

07/31/2008

CHICAGO

IL

60611

COOK

II

N

04/07/2011