JOHN M LANTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****78

NOT RENEWED

N

JOHN M

LANTZ

MD

JOHN M LANTZ MD

09/10/1990

09/10/1990

07/31/1999

ROBINSON

IL

62454

CRAWFORD

II III IV V

N

04/07/2011