SAMUEL DACANAY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

SAMUEL

DACANAY

MD

SAMUEL DACANAY MD

06/08/1990

06/08/1990

07/31/1993

CHICAGO

IL

60617

COOK

II III IV V

N

09/26/2006