ASIM RAZZAQ MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

ASIM

RAZZAQ

MD

ASIM RAZZAQ MD

05/11/1999

05/11/1999

07/31/2005

GRANITE CITY

IL

62040

MADISON

II III IV V

N

04/07/2011