FAROOQ K GHORY

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN AND SURGEON

036096200

NOT RENEWED

N

FAROOQ K

GHORY

FAROOQ K GHORY

07/29/1997

07/29/1997

07/31/2005

MT. VERNON

IL

62864

JEFFERSON

Y

03/24/2007

2003006573

Summary Suspension

09/15/2003

12/15/2003