LUZ A VENTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

LUZ A

VENTA

MD

LUZ A VENTA MD

02/18/1987

02/18/1987

07/31/2002

CHICAGO

IL

60611

COOK

II III IV V

N

04/12/2017