LAWRENCE B PRATER JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****82

NOT RENEWED

N

LAWRENCE B

PRATER JR

MD

LAWRENCE B PRATER JR MD

01/01/1997

09/01/1982

CHICAGO

IL

60615

COOK

II III IV V

N

09/26/2006