AMIT SUD DDS

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****85

ACTIVE

N

AMIT

SUD

DDS

AMIT SUD DDS

07/28/2015

05/06/2024

09/30/2027

BERWYN

IL

60402

COOK

II III IV V

N

05/06/2024