SUSAN CRIFASE LIN

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****80

ACTIVE

N

SUSAN

CRIFASE

LIN

SUSAN CRIFASE LIN

06/30/1992

07/06/2023

07/31/2026

LAKE FOREST

IL

60045

LAKE

II III IV V

N

07/06/2023