ANTHONY F LAPORTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

ANTHONY F

LAPORTA

MD

ANTHONY F LAPORTA MD

05/24/1985

05/24/1985

07/31/2002

CHICAGO

IL

60634

COOK

II III IV V

N

10/09/2006