LUZ C CUA

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****44

NOT RENEWED

N

LUZ C

CUA

LUZ C CUA

05/04/1987

12/15/2021

09/30/2024

NORTHFIELD

IL

60093

COOK

II III IV V

N

02/04/2025