JOSE M ALANIS-AMEZCUA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

JOSE M

ALANIS-AMEZCUA

MD

JOSE M ALANIS-AMEZCUA MD

09/05/1991

09/05/1991

07/31/1996

PARK RIDGE

IL

60068

COOK

II III IV V

N

09/26/2006