ALI TABRIZCHI DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****27

NOT RENEWED

N

ALI

TABRIZCHI

DO

ALI TABRIZCHI DO

10/22/2004

10/22/2004

07/31/2008

OLYMPIA FIELDS

IL

60461

COOK

II III IV V

N

11/06/2008