The holder whose full name is PENTZIEN JR, DWIGHT FREDERICK,come from CHARLESTON IL,hold the Osteopathic Physician license(NO.02001603A) which status is Expired Non-Renewable.
| Name | PENTZIEN JR, DWIGHT FREDERICK |
|---|---|
| License Number | 02001603A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | CHARLESTON |
| State | IL |