SANDRA WEI LAI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

SANDRA

WEI

LAI

MD

SANDRA WEI LAI MD

05/09/2000

05/09/2000

07/31/2002

MARYVILLE

IL

62062

MADISON

II III IV V

N

10/09/2006