ROITHONGZAI PUAPIROMAYA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

ROITHONGZAI

PUAPIROMAYA

MD

ROITHONGZAI PUAPIROMAYA MD

10/04/1983

10/04/1983

07/31/1987

CHICAGO

IL

60640

COOK

II III IV V

N

09/26/2006