HUMA COVUT DMD

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****73

ACTIVE

N

DMD

HUMA

COVUT

HUMA COVUT DMD

07/18/2024

07/18/2024

09/30/2027

HOFFMAN ESTATES

IL

60169

COOK

PRACTITIONER

II III IV V

N

07/18/2024