IRA ZALTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

NOT RENEWED

N

IRA

ZALTZ

MD

IRA ZALTZ MD

06/29/1997

06/29/1997

07/31/2002

PALOS HEIGHTS

IL

60463

COOK

II III IV V

N

10/09/2006