LUIS FERNANDO HERRERA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

NOT RENEWED

N

LUIS

FERNANDO

HERRERA

MD

LUIS FERNANDO HERRERA MD

01/21/2000

01/21/2000

07/31/2002

MELROSE PARK

IL

60160

COOK

II III IV V

N

10/09/2006