ROQUE PIFARRE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****15

NOT RENEWED

N

ROQUE

PIFARRE

MD

ROQUE PIFARRE MD

10/16/1987

10/16/1987

07/31/2008

CHICAGO

IL

60611

COOK

II III

N

04/07/2011