BERNARD E LAKEMAKER

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

ACTIVE

N

BERNARD E

LAKEMAKER

BERNARD E LAKEMAKER

08/02/1994

05/31/2023

07/31/2026

BANNOCKBURN

IL

60015

LAKE

II III IV V

N

05/31/2023