CONRAD S BALCER DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

CONRAD S

BALCER

DO

CONRAD S BALCER DO

03/27/1989

03/27/1989

07/31/1993

CHICAGO

IL

60615

COOK

II III IV V

N

09/26/2006