ANGELO S DIMALANTA

Business Entity
NOT RENEWED

Podiatrist

LICENSED PODIATRY CONTROLLED SUBSTANCE

31*****89

NOT RENEWED

N

ANGELO S

DIMALANTA

ANGELO S DIMALANTA

03/04/1993

03/04/1993

01/31/1999

CHICAGO

IL

60641

COOK

II III IV V

N

09/25/2006