LORI B SOSTOCK

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

LORI

B

SOSTOCK

LORI B SOSTOCK

02/05/1998

02/05/1998

07/31/1999

CHICAGO

IL

60657

COOK

II III IV V

N

09/26/2006