THOMAS A LUTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****92

NOT RENEWED

N

THOMAS

A

LUTZ

MD

THOMAS A LUTZ MD

08/23/2004

08/23/2004

07/31/2005

MAYWOOD

IL

60153

COOK

II III IV V

N

04/05/2020