DOUGLAS JOHN CHONKO DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

NOT RENEWED

N

DOUGLAS

JOHN

CHONKO

DO

DOUGLAS JOHN CHONKO DO

07/15/2003

07/28/2009

07/31/2011

PERU

IL

61354

LA SALLE

PRACTITIONER

II III IV V

N

11/10/2011