HERMAN G BOTERO DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

NOT RENEWED

N

DO

HERMAN

G

BOTERO

HERMAN G BOTERO DO

05/09/2013

05/09/2013

07/31/2014

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

11/17/2014