TIMOTHY OMEGA MINUS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

DO

TIMOTHY

OMEGA

MINUS

TIMOTHY OMEGA MINUS DO

08/20/2010

06/23/2011

07/31/2014

MENDOTA

IL

61342

LA SALLE

PRACTITIONER

II III IV V

N

11/17/2014