RICHARD A MINTZER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

RICHARD A

MINTZER

MD

RICHARD A MINTZER MD

01/01/1997

04/24/2014

07/31/2017

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

11/01/2017