TARIQ AHMAD MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

TARIQ

AHMAD

MD

TARIQ AHMAD MD

07/12/2005

07/12/2005

07/31/2008

OAK FOREST

IL

60452

COOK

II III IV V

N

11/06/2008