DANA S VITALE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

DO

DANA

S

VITALE

DANA S VITALE DO

10/15/2014

10/15/2014

07/31/2017

CHICAGO HEIGHTS

IL

60411

COOK

PRACTITIONER

II III IV V

N

11/01/2017