OMMAR TIN HLA MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

ACTIVE

N

OMMAR TIN

HLA

MD

OMMAR TIN HLA MD

01/30/1996

07/19/2023

07/31/2026

HINSDALE

IL

60521

DUPAGE

II III IV V

N

07/19/2023