BORIS D LUSHNIAK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

BORIS D

LUSHNIAK

MD

BORIS D LUSHNIAK MD

11/07/1985

11/07/1985

07/31/1990

CHICAGO

IL

60610

COOK

II III IV V

N

09/26/2006