SAMUEL T GARCIA JR

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

NOT RENEWED

N

SAMUEL T

GARCIA JR

SAMUEL T GARCIA JR

03/28/1988

03/28/1988

07/31/1990

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006