ALLEN QUETANT DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

ACTIVE

N

DO

ALLEN

QUETANT

ALLEN QUETANT DO

05/21/2022

04/08/2023

07/31/2026

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

04/08/2023