JOSE AUDIE E LIM

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****18

NOT RENEWED

N

JOSE AUDIE E

LIM

JOSE AUDIE E LIM

04/13/1995

04/13/1995

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006