ROGER A CLAUSNITZER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

ROGER A

CLAUSNITZER

MD

ROGER A CLAUSNITZER MD

01/13/1994

01/13/1994

07/31/1996

MUNDELEIN

IL

60060

LAKE

II III IV V

N

09/26/2006