ULRICH BIRLENBACH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

NOT RENEWED

N

ULRICH

BIRLENBACH

MD

ULRICH BIRLENBACH MD

07/05/1983

07/05/1983

07/31/1987

CHICAGO

IL

60657

COOK

II III IV V

N

09/26/2006