RALPH OSCAR BUTZ JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

NOT RENEWED

N

RALPH OSCAR

BUTZ JR

MD

RALPH OSCAR BUTZ JR MD

01/01/1997

07/31/2008

CHICAGO

IL

60613

COOK

II III IV V

N

11/06/2008