ZALAYA IVY

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****26

ACTIVE

N

ZALAYA

IVY

ZALAYA IVY

10/08/2024

10/08/2024

07/31/2026

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

10/08/2024