TAMARA ZORIANNA VERN-GROSS

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

NOT RENEWED

N

TAMARA

ZORIANNA

VERN-GROSS

TAMARA ZORIANNA VERN-GROSS

02/15/2008

09/02/2008

07/31/2011

OAK LAWN

IL

60453

COOK

PRACTITIONER

II III IV V

N

11/10/2011