RUBEN L SUNGA JR

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****51

NOT RENEWED

N

RUBEN L

SUNGA JR

RUBEN L SUNGA JR

08/10/2005

08/10/2005

07/31/2008

CHICAGO

IL

60616

COOK

II III IV V

N

11/06/2008