SUSAN BETH LANDRY DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

NOT RENEWED

N

SUSAN

BETH

LANDRY

DO

SUSAN BETH LANDRY DO

10/22/2004

10/22/2004

07/31/2008

MCHENRY

IL

60050

MCHENRY

II III IV V

N

11/06/2008