SCOTT J PRIMACK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****51

NOT RENEWED

N

SCOTT J

PRIMACK

DO

SCOTT J PRIMACK DO

08/14/1990

08/14/1990

07/31/1993

CHICAGO

IL

60613

COOK

II III IV

N

09/26/2006