JOSE L ESCOBAR

Business Entity
INOPERATIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

INOPERATIVE

N

JOSE L

ESCOBAR

JOSE L ESCOBAR

07/31/1990

07/31/1990

07/31/1993

VERNON HILLS

IL

60061

LAKE

II III IV V

N

09/26/2006