BRIAN L HUCKSTORF MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

BRIAN

L

HUCKSTORF

MD

BRIAN L HUCKSTORF MD

09/07/2001

09/07/2001

07/31/2005

CHICAGO

IL

60631

COOK

II III IV V

N

10/09/2006