WILLIAM BLAINE LUTES DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

NOT RENEWED

N

WILLIAM

BLAINE

LUTES

DO

WILLIAM BLAINE LUTES DO

04/05/2004

07/24/2014

07/31/2017

LIBERTYVILLE

IL

60048

LAKE

II III IV V

N

11/01/2017