MICHAEL H WHITTAKER

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

MICHAEL H

WHITTAKER

MICHAEL H WHITTAKER

09/05/1991

09/05/1991

07/31/1993

CHICAGO

IL

60657

COOK

II III IV V

N

09/26/2006