CARLA M LANG-LEWIN

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

CARLA M

LANG-LEWIN

CARLA M LANG-LEWIN

12/18/1985

12/18/1985

07/31/1993

CHICAGO

IL

60657

COOK

II III IV V

N

04/12/2017