ROGER A MALTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071836

License Status

NOT RENEWED

Business

Title

First Name

ROGER

Middle

Last Name

MALTZ

Business Name

ROGER A MALTZ MD

Original Issue Date

10/10/1985

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017