ROGER A MALTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

ROGER

Middle

Last Name

MALTZ

Business Name

ROGER A MALTZ MD

Original Issue Date

11/04/1985

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017