LAVIAS MARTEZ BURNS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

NOT RENEWED

N

LAVIAS

MARTEZ

BURNS

MD

LAVIAS MARTEZ BURNS MD

08/12/2003

05/14/2020

07/31/2023

DANVILLE

IL

61832

VERMILION

II III IV V

N

11/30/2023