OMID HAJISEYEDJAVADI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

MD

OMID

HAJISEYEDJAVADI

OMID HAJISEYEDJAVADI MD

06/15/2012

05/09/2014

07/31/2017

GURNEE

IL

60031

LAKE

II III IV V

N

11/01/2017