MICHAEL P MARTIRE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

MICHAEL P

MARTIRE

MD

MICHAEL P MARTIRE MD

11/17/1987

11/17/1987

07/31/1990

WHEATON

IL

60187

DUPAGE

II III IV V

N

09/26/2006