ZACHARY LAUCIS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****79

NOT RENEWED

N

DO

ZACHARY

LAUCIS

ZACHARY LAUCIS DO

08/02/2019

09/16/2020

07/31/2023

MAYWOOD

IL

60153

COOK

PRACTITIONER

II III IV V

N

11/30/2023