MARIE LAMOTHE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

NOT RENEWED

N

DO

MARIE

LAMOTHE

MARIE LAMOTHE DO

08/08/2014

08/08/2014

07/31/2017

PALOS HEIGHTS

IL

60463

COOK

PRACTITIONER

II III IV V

N

11/01/2017