DAVID I MALITZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DAVID I

MALITZ

MD

DAVID I MALITZ MD

11/02/1990

11/02/1990

07/31/1999

HARRISBURG

IL

62946

SALINE

II III IV V

N

04/07/2011