MARK PAUL FRITZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****81

NOT RENEWED

N

MARK PAUL

FRITZ

MD

MARK PAUL FRITZ MD

11/16/1993

11/16/1993

07/31/1996

CHICAGO

IL

60637

COOK

II III IV V

N

09/26/2006