RICHARD A LUTZ DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****34

NOT RENEWED

N

RICHARD A

LUTZ

DO

RICHARD A LUTZ DO

12/18/1989

12/18/1989

07/31/1993

SPRINGFIELD

IL

62794

SANGAMON

II III IV V

N

09/26/2006