SUSAN J LURIE

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

SUSAN

J

LURIE

SUSAN J LURIE

05/27/1999

04/17/2008

07/31/2011

DES PLAINES

IL

60016

COOK

II III IV V

N

11/10/2011