MICHAEL BRETT HOUTZ

Business Entity
NOT RENEWED

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****73

NOT RENEWED

N

MICHAEL

BRETT

HOUTZ

MICHAEL BRETT HOUTZ

09/05/2001

09/05/2001

03/01/2004

ELMHURST

IL

60126

DUPAGE

N

10/09/2006