ALBERT CHARLES LATORRE JR

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****18

NOT RENEWED

N

ALBERT CHARLES

LATORRE JR

ALBERT CHARLES LATORRE JR

09/17/1984

09/17/1984

09/30/1986

CHICAGO

IL

60614

COOK

II III IV V

N

10/13/2005