FLORAMADO A LICUDINE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

FLORAMADO A

LICUDINE

MD

FLORAMADO A LICUDINE MD

01/01/1997

07/24/2017

09/30/2020

LINCOLNWOOD

IL

60712

COOK

II III IV V

N

01/14/2021