MARITZA PALUSIAK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****57

NOT RENEWED

N

MARITZA

PALUSIAK

MD

MARITZA PALUSIAK MD

06/07/1990

06/07/1990

07/31/1993

CARBONDALE

IL

62901

JACKSON

II III IV V

N

09/26/2006