SUMMER LEE DAMUTH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DO

SUMMER

LEE

DAMUTH

SUMMER LEE DAMUTH DO

09/03/2009

09/03/2009

07/31/2011

OLYMPIA FIELDS

IL

60461

COOK

PRACTITIONER

II III IV V

N

11/10/2011