MIR OMAR ALI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

MIR

OMAR

ALI

MD

MIR OMAR ALI MD

11/27/2002

11/27/2002

07/31/2008

CHICAGO

IL

60625

COOK

II III IV V

N

11/06/2008