JOSE L ESCOBAR

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

JOSE L

ESCOBAR

JOSE L ESCOBAR

06/15/1987

06/15/1987

07/31/1990

CHICAGO

IL

60640

COOK

II III IV V

N

09/26/2006