PETER CHARLES LEM

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****20

NOT RENEWED

N

PETER CHARLES

LEM

PETER CHARLES LEM

11/21/1983

11/21/1983

09/30/1988

CHICAGO

IL

60659

COOK

II III IV V

N

10/13/2005