LARRY WILLIAM LUTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

LARRY WILLIAM

LUTZ

MD

LARRY WILLIAM LUTZ MD

01/01/1997

01/01/1997

MOUNT CARMEL

IL

62863

EDWARDS

II III IV V

N

09/26/2006