RAFAEL MACHADO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

RAFAEL

MACHADO

MD

RAFAEL MACHADO MD

12/01/1982

12/01/1982

07/31/1984

NORTHBROOK

IL

60062

COOK

II III IV V

N

09/26/2006