POLLYANNA LAM DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

POLLYANNA

LAM

DO

POLLYANNA LAM DO

08/10/2004

08/10/2004

07/31/2005

CHICAGO HEIGHTS

IL

60411

COOK

II III IV V

N

04/07/2011