SYED N SHAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

SYED N

SHAH

MD

SYED N SHAH MD

07/14/1997

07/14/1997

07/31/2002

DECATUR

IL

62526

MACON

II III IV V

N

10/09/2006