SOLITA RICO LLAGUNO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****67

NOT RENEWED

N

SOLITA RICO

LLAGUNO

MD

SOLITA RICO LLAGUNO MD

03/31/1982

06/16/2008

07/31/2011

CHICAGO

IL

60634

COOK

II III IV V

N

11/10/2011