SANFORD Z MELMED MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

SANFORD Z

MELMED

MD

SANFORD Z MELMED MD

09/20/1984

09/20/1984

07/31/1987

EVANSTON

IL

60202

COOK

II III IV V

N

09/26/2006