MIGUEL HUGO PEREZ

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****85

NOT RENEWED

N

MIGUEL HUGO

PEREZ

MIGUEL HUGO PEREZ

03/23/1989

07/24/2006

09/30/2009

CHICAGO

IL

60613

COOK

II III IV V

N

11/04/2009