CHRIS ROBERT ULLRICH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

CHRIS

ROBERT

ULLRICH

DO

CHRIS ROBERT ULLRICH DO

05/22/2000

03/06/2007

07/31/2008

FAIRVIEW HEIGHTS

IL

62208

SAINT CLAIR

II III IV V

N

11/06/2008