DAVID S LAVITT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

DAVID S

LAVITT

MD

DAVID S LAVITT MD

07/16/1986

07/16/1986

07/31/1987

CHICAGO

IL

60616

COOK

II III IV V

N

09/26/2006