RICHARD ANTHONY AMATO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

RICHARD

ANTHONY

AMATO

MD

RICHARD ANTHONY AMATO MD

06/09/2005

06/09/2005

07/31/2008

GALENA

IL

61036

JO DAVIESS

II III IV V

N

04/07/2011