FAROOQ M REZA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

NOT RENEWED

N

FAROOQ M

REZA

MD

FAROOQ M REZA MD

07/07/1986

07/07/1986

07/31/1993

SKOKIE

IL

60077

COOK

II III IV V

N

09/26/2006