ASSAD QASIM

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****52

ACTIVE

N

ASSAD

QASIM

ASSAD QASIM

06/28/2019

09/02/2024

09/30/2027

AURORA

IL

60506

KANE

PRACTITIONER

II III IV V

N

09/02/2024