CARLOS LEPOLDO BONO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

NOT RENEWED

N

CARLOS LEPOLDO

BONO

CARLOS LEPOLDO BONO

01/01/1997

07/31/2002

BLUE ISLAND

IL

60406

COOK

II III IV V

N

10/09/2006