JONG CHARLES C LEE

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

JONG CHARLES

C

LEE

JONG CHARLES C LEE

01/17/2003

01/17/2003

07/31/2005

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006