UMA S PITALE

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

UMA S

PITALE

UMA S PITALE

07/17/1997

07/17/1997

07/31/1999

MELROSE PARK

IL

60160

COOK

II III IV V

N

09/26/2006