DANIEL DABBAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

DANIEL

DABBAH

MD

DANIEL DABBAH MD

12/13/2004

12/13/2004

07/31/2008

CHICAGO

IL

60612

COOK

II III IV V

N

11/06/2008