LAURA J LUCERO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

MD

LAURA

J

LUCERO

LAURA J LUCERO MD

09/19/2005

09/19/2005

07/31/2008

CHICAGO

IL

60633

COOK

II III IV V

N

04/05/2020