NICK B MALTAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046236

License Status

INACTIVE

Business

First Name

NICK B

Last Name

MALTAS

Suffix

Business Name

NICK B MALTAS MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006