MIRIAM W LINDROOTH

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****92

NOT RENEWED

N

MIRIAM

W

LINDROOTH

MIRIAM W LINDROOTH

03/22/2001

03/22/2001

07/31/2005

NORTHFIELD

IL

60093

COOK

II III IV V

N

10/09/2006