BERNICE SALAZAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

BERNICE

SALAZAR

MD

BERNICE SALAZAR MD

06/03/1998

06/03/1998

07/31/2008

CHICAGO

IL

60638

COOK

II III IV V

N

04/05/2020