LEONARDO TAN QUE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

LEONARDO TAN

QUE

MD

LEONARDO TAN QUE MD

03/12/1982

03/12/1982

07/31/1984

WAUKEGAN

IL

60085

LAKE

II III IV V

N

09/26/2006