RUSSELL HERMAN TOMAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

NOT RENEWED

N

RUSSELL

HERMAN

TOMAR

MD

RUSSELL HERMAN TOMAR MD

11/07/2001

08/19/2008

07/31/2011

CHICAGO

IL

60610

COOK

II III IV V

N

11/10/2011