BIANCA JULIE LANG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****49

NOT RENEWED

N

BIANCA

JULIE

LANG

MD

BIANCA JULIE LANG MD

09/03/2003

09/03/2003

07/31/2005

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006