SAM TECHO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

SAM

TECHO

MD

SAM TECHO MD

09/16/1987

09/16/1987

07/31/1990

METROPOLIS

IL

62960

MASSAC

II III IV V

N

10/09/2006