RICHARD H TANZER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

RICHARD H

TANZER

MD

RICHARD H TANZER MD

08/30/1984

08/30/1984

07/31/1987

CHICAGO

IL

60657

COOK

II III IV V

N

09/26/2006