ELLAINE SESE PINGOL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

NOT RENEWED

N

ELLAINE

SESE

PINGOL

MD

ELLAINE SESE PINGOL MD

08/20/2001

08/20/2001

07/31/2002

CHICAGO

IL

60625

COOK

II III IV V

N

04/12/2017