ADAM D PRICE

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

ADAM D

PRICE

ADAM D PRICE

04/25/2012

07/17/2017

09/30/2020

NORTHBROOK

IL

60062

COOK

PRACTITIONER

II III IV V

N

01/14/2021