LANCE B BECKER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

NOT RENEWED

N

LANCE B

BECKER

MD

LANCE B BECKER MD

06/10/1983

06/10/1983

07/31/2008

CHICAGO

IL

60637

COOK

II III IV V

N

11/06/2008