FRED WALTER SCHOMBURG DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****96

NOT RENEWED

N

FRED WALTER

SCHOMBURG

DDS

FRED WALTER SCHOMBURG DDS

01/01/1998

09/30/1992

PARK RIDGE

IL

60068

COOK

II III IV V

N

10/13/2005