STEPHEN J SONTAG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****23

NOT RENEWED

N

STEPHEN

J

SONTAG

MD

STEPHEN J SONTAG MD

07/31/1990

07/31/1990

07/31/2002

EVANSTON

IL

60201

COOK

II III IV V

N

04/05/2020