AMENA NUZHAT HAQ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

AMENA NUZHAT

HAQ

MD

AMENA NUZHAT HAQ MD

07/01/1981

07/01/1981

07/31/1990

LAGRANGE

IL

60525

COOK

II III IV V

N

09/26/2006