AMIT MALHOTRA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****17

NOT RENEWED

N

AMIT

MALHOTRA

MD

AMIT MALHOTRA MD

02/14/2001

02/14/2001

07/31/2002

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006