LINE KEMEYOU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

MD

LINE

KEMEYOU

LINE KEMEYOU MD

06/07/2016

05/24/2017

09/30/2020

MADISON

WI

53703

WISCONSIN

PRACTITIONER

II III IV V

N

01/14/2021