MOUTASEM ABAZA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

MOUTASEM

ABAZA

MD

MOUTASEM ABAZA MD

05/20/2004

05/20/2004

07/31/2005

MOLINE

IL

61265

ROCK ISLAND

II III IV V

N

10/09/2006