ZIAD SHAHLA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****06

NOT RENEWED

N

ZIAD

SHAHLA

MD

ZIAD SHAHLA MD

08/09/1993

08/09/1993

07/31/1996

PARK RIDGE

IL

60068

COOK

II III IV V

N

09/26/2006