LARRY DEAN CRIPE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

NOT RENEWED

N

LARRY DEAN

CRIPE

MD

LARRY DEAN CRIPE MD

05/13/1986

05/13/1986

07/31/1987

CHICAGO

IL

60607

COOK

II III IV V

N

09/26/2006