MANUEL JAMES LOZADA III DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

NOT RENEWED

N

DO

MANUEL

JAMES

LOZADA

III

MANUEL JAMES LOZADA III DO

05/08/2017

12/29/2021

07/31/2023

CHICAGO

IL

60611

COOK

PRACTITIONER

II III IV V

N

11/30/2023