JAMES CHENG HWAT TAY

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

JAMES CHENG HWAT

TAY

JAMES CHENG HWAT TAY

01/01/1997

07/31/2008

PEORIA

IL

61615

PEORIA

II III IV V

N

04/07/2011