CHRISTINA M DOLACK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****18

NOT RENEWED

N

CHRISTINA

M

DOLACK

DO

CHRISTINA M DOLACK DO

08/19/2003

06/27/2008

07/31/2011

SENECA

IL

61360

LA SALLE

II III IV V

N

11/10/2011