LUCA VASSALLI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

LUCA

VASSALLI

MD

LUCA VASSALLI MD

11/12/1987

11/12/1987

07/31/1990

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006