MONTASER F SHAHEEN

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

MONTASER

F

SHAHEEN

MONTASER F SHAHEEN

12/07/1999

12/07/1999

07/31/2005

DU QUOIN

IL

62832

PERRY

II III IV V

N

10/09/2006