LISA M MEMMEL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

LISA

M

MEMMEL

MD

LISA M MEMMEL MD

06/12/2006

06/12/2006

07/31/2008

CHICAGO

IL

60637

COOK

II III IV V

N

04/07/2011