MELL T WOSTOUPAL

Business Entity
NOT RENEWED

Veterinarian

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

39*****28

NOT RENEWED

N

MELL T

WOSTOUPAL

MELL T WOSTOUPAL

06/30/1982

04/17/2019

01/31/2021

NORTHBROOK

IL

60062

COOK

II III IV V

N

03/11/2021