JAMES J HERDEGEN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

NOT RENEWED

N

MD

JAMES

J

HERDEGEN

JAMES J HERDEGEN MD

05/23/1989

05/23/1989

07/31/2002

CHICAGO

IL

60608

COOK

II III IV V

N

04/05/2020