DARIUS F WANIA

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

NOT RENEWED

N

DARIUS F

WANIA

DARIUS F WANIA

08/24/1994

08/24/1994

07/31/1996

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006