RIFAT ERENMEMIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

RIFAT

ERENMEMIS

MD

RIFAT ERENMEMIS MD

01/01/1997

07/31/1990

EAST ST LOUIS

IL

62205

SAINT CLAIR

II III IV V

Y

09/26/2006

1987000159

Suspension

07/24/1987

07/25/1989