HOMAR J BARTRA-OBANDO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****19

NOT RENEWED

N

HOMAR J

BARTRA-OBANDO

HOMAR J BARTRA-OBANDO

03/15/1995

03/15/1995

07/31/1996

WESTMONT

IL

60559

DUPAGE

II III IV V

N

09/26/2006