BARRY SETH BARUDIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

BARRY

SETH

BARUDIN

MD

BARRY SETH BARUDIN MD

10/24/2003

10/24/2003

07/31/2008

OSWEGO

IL

60543

KENDALL

II III IV V

N

11/06/2008