OSSAMA AL-ASSAFEEN

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****02

NOT RENEWED

N

OSSAMA

AL-ASSAFEEN

OSSAMA AL-ASSAFEEN

12/22/1997

12/22/1997

07/31/1999

OQUAWKA

IL

61469

HENDERSON

II

N

09/26/2006