HAROLD THEODORE HUSS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

DO

HAROLD

THEODORE

HUSS

HAROLD THEODORE HUSS DO

09/26/2011

06/05/2017

09/30/2020

ZION

IL

60099

LAKE

PRACTITIONER

II III IV V

N

01/14/2021