MICHAEL BARTH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

MICHAEL

BARTH

MD

MICHAEL BARTH MD

06/16/1989

06/16/1989

07/31/1990

ELGIN

IL

60120

COOK

II III IV V

N

09/26/2006