OMAR MASOUD QAHWASH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

OMAR

MASOUD

QAHWASH

DO

OMAR MASOUD QAHWASH DO

05/13/2010

05/13/2010

07/31/2011

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

11/10/2011