MELINA CUSTOVIC KALTAK DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****27

NOT RENEWED

N

DO

MELINA

CUSTOVIC KALTAK

MELINA CUSTOVIC KALTAK DO

08/14/2017

08/14/2017

09/30/2020

URBANA

IL

61801

CHAMPAIGN

PRACTITIONER

II III IV V

N

01/14/2021