EMELITA C CO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****23

NOT RENEWED

N

EMELITA C

CO

MD

EMELITA C CO MD

08/10/2005

01/13/2021

07/31/2023

OAK PARK

IL

60304

COOK

II III IV V

N

11/30/2023