ELIEZER SOTO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

NOT RENEWED

N

MD

ELIEZER

SOTO

ELIEZER SOTO MD

03/10/2016

03/10/2016

07/31/2017

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

04/05/2020