LARRY K LACLAIR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

NOT RENEWED

N

LARRY K

LACLAIR

MD

LARRY K LACLAIR MD

12/05/1984

12/05/1984

07/31/1987

HINSDALE

IL

60521

COOK

II III IV V

N

09/26/2006