HERBERT CARL HEN FRITZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

HERBERT CARL HEN

FRITZ

MD

HERBERT CARL HEN FRITZ MD

01/01/1997

07/31/1990

DECATUR

IL

62521

MACON

II III IV

N

09/26/2006