ADORACION MANUEL LACKAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

NOT RENEWED

N

ADORACION MANUEL

LACKAR

MD

ADORACION MANUEL LACKAR MD

09/21/1982

09/21/1982

07/31/1999

ALSIP

IL

60658

COOK

II III IV V

N

09/26/2006