AISHA IMAM DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****31

ACTIVE

N

DO

AISHA

IMAM

AISHA IMAM DO

06/16/2025

06/16/2025

07/31/2026

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

06/16/2025