MIR B ALI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****27

NOT RENEWED

N

MIR B

ALI

MD

MIR B ALI MD

05/15/1985

05/15/1985

07/31/1987

HINES

IL

60141

COOK

III IV V

N

09/26/2006