ROMEO C URSUA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

NOT RENEWED

N

ROMEO C

URSUA

MD

ROMEO C URSUA MD

01/01/1997

08/12/2008

07/31/2011

OAK BROOK

IL

60523

DUPAGE

II III IV V

N

04/05/2020