HAROLD MERYLE VISOTSKY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

HAROLD MERYLE

VISOTSKY

MD

HAROLD MERYLE VISOTSKY MD

01/01/1997

07/31/2002

CHICAGO

IL

60611

COOK

II IV V

N

10/09/2006