DONALD W KUCHARZYK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

DONALD W

KUCHARZYK

DO

DONALD W KUCHARZYK DO

08/29/2000

08/29/2000

07/31/2005

CHICAGO

IL

60637

COOK

II III IV V

N

10/09/2006