TAMAS BALOGH

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

TAMAS

BALOGH

TAMAS BALOGH

09/22/1992

09/22/1992

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006