ERIK N TANCK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

ERIK N

TANCK

MD

ERIK N TANCK MD

11/28/1990

11/28/1990

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006