DANIEL MARK PLAUTZ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

NOT RENEWED

N

DANIEL MARK

PLAUTZ

MD

DANIEL MARK PLAUTZ MD

01/01/1997

07/31/1987

METAMORA

IL

61548

WOODFORD

II III IV V

N

09/26/2006