MUMTAZ HUSAIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****15

NOT RENEWED

N

MUMTAZ

HUSAIN

MD

MUMTAZ HUSAIN MD

04/15/1991

04/15/1991

07/31/1993

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020