HUNG QUOC TRAN

Business Entity
NOT RENEWED

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****73

NOT RENEWED

N

HUNG

QUOC

TRAN

HUNG QUOC TRAN

03/05/2001

03/05/2001

03/01/2006

CHICAGO

IL

60605

COOK

N

10/09/2006