BASIT JAVAID MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****11

NOT RENEWED

N

BASIT

JAVAID

MD

BASIT JAVAID MD

05/20/2002

05/20/2002

07/31/2008

CHICAGO

IL

60637

COOK

II III IV V

N

11/06/2008