MARVIN LEE PRIMACK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

MARVIN LEE

PRIMACK

MD

MARVIN LEE PRIMACK MD

01/01/1997

07/07/2008

07/31/2011

LINCOLNSHIRE

IL

60069

LAKE

II III IV V

N

11/10/2011