LAURENCE E SPANG

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****46

NOT RENEWED

N

LAURENCE E

SPANG

LAURENCE E SPANG

07/21/1989

07/21/1989

09/30/1996

CHICAGO

IL

60640

COOK

II III IV V

N

10/13/2005