CASSIM IGRAM DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

CASSIM

IGRAM

DO

CASSIM IGRAM DO

11/21/1986

11/21/1986

07/31/1990

ARLINGTON HEIGHTS

IL

60004

COOK

III IV V

N

09/26/2006