RONALD M SHORT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

RONALD M

SHORT

MD

RONALD M SHORT MD

08/27/1985

08/27/1985

07/31/1993

RIVERSIDE

IL

60546

COOK

II III IV V

Y

09/26/2006

2003006707

Probation

05/24/2005

DUE TO SUBSTANCE ABUSE PROBLEMS.