RICHARD S DOBRUSIN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

RICHARD S

DOBRUSIN

DO

RICHARD S DOBRUSIN DO

06/18/1987

06/18/1987

07/31/1993

CHICAGO

IL

60653

COOK

II III IV V

N

09/26/2006