MICHAEL A LAVOR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****17

NOT RENEWED

N

MICHAEL A

LAVOR

MD

MICHAEL A LAVOR MD

10/19/1990

10/19/1990

07/31/1993

OAK PARK

IL

60304

COOK

II III IV V

N

09/26/2006