AVNER KAUFFMAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****83

NOT RENEWED

N

AVNER

KAUFFMAN

MD

AVNER KAUFFMAN MD

01/01/1997

07/31/1999

PALOS HEIGHTS

IL

60463

COOK

II III IV V

Y

03/26/2007

1984000526

Suspension

06/26/1985

02/01/1990