OTTO J PLACIK

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

NOT RENEWED

N

OTTO J

PLACIK

OTTO J PLACIK

06/23/1997

04/17/2008

07/31/2011

GLENVIEW

IL

60025

COOK

II III IV V

N

04/05/2020