CHRISTA ELIZABETH AMBROSE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****84

NOT RENEWED

N

CHRISTA

ELIZABETH

AMBROSE

DO

CHRISTA ELIZABETH AMBROSE DO

03/31/2006

03/31/2006

07/31/2008

PARK RIDGE

IL

60068

COOK

II III IV V

N

11/06/2008