BRUCE O ROPER

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

BRUCE O

ROPER

BRUCE O ROPER

09/15/1997

09/15/1997

07/31/2002

OAK BROOK

IL

60523

COOK

II III IV V

N

10/09/2006