MICHAEL D CHAFTY

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****14

NOT RENEWED

N

MICHAEL D

CHAFTY

MICHAEL D CHAFTY

09/27/1995

09/27/1995

07/31/1996

WINFIELD

IL

60190

DUPAGE

II III IV V

N

09/26/2006