LAURENCE CHU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****79

NOT RENEWED

N

LAURENCE

CHU

MD

LAURENCE CHU MD

04/23/1996

04/23/1996

07/31/2002

CARBONDALE

IL

62901

JACKSON

II III IV V

N

10/09/2006