DANESH A ALAM

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

ACTIVE

N

DANESH

A

ALAM

DANESH A ALAM

09/22/1999

06/15/2023

07/31/2026

WINFIELD

IL

60190

DUPAGE

II III IV V

N

06/15/2023