ANTHONY S WEI

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

ANTHONY

S

WEI

ANTHONY S WEI

10/02/2003

10/02/2003

07/31/2008

OAK PARK

IL

60302

COOK

II III IV V

N

11/06/2008