BENJAMIN J LO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****54

NOT RENEWED

N

BENJAMIN J

LO

MD

BENJAMIN J LO MD

01/31/1996

01/31/1996

07/31/2005

ROLLING MEADOWS

IL

60008

COOK

II III IV V

N

10/09/2006