WILLIAM L MADRID MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****43

NOT RENEWED

N

WILLIAM

L

MADRID

MD

WILLIAM L MADRID MD

11/24/1986

11/24/1986

07/31/1987

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006