Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****97
NOT RENEWED
N
SAOWALUCK
LEELALUCKANAKUL TRAN
DO
SAOWALUCK LEELALUCKANAKUL TRAN DO
01/05/2001
07/31/2008
ELK GROVE VILLAGE
IL
60007
COOK
II III IV V
11/06/2008