ALBERT LEE VAN AMBURG III MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****50

NOT RENEWED

N

ALBERT LEE

VAN AMBURG III

MD

ALBERT LEE VAN AMBURG III MD

01/01/1997

08/03/2017

09/30/2020

GREENVILLE

IL

62246

BOND

II III IV V

N

01/14/2021