ROLANDO A LARA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

MD

ROLANDO

A

LARA

ROLANDO A LARA MD

01/01/1997

04/24/2014

07/31/2017

CHICAGO

IL

60623

COOK

II III IV V

N

11/01/2017