SHAFIQ AHMED MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

NOT RENEWED

N

SHAFIQ

AHMED

MD

SHAFIQ AHMED MD

01/01/1997

08/14/2008

07/31/2011

ORLAND PARK

IL

60462

COOK

II III IV V

N

11/10/2011