MALIK H DABABNEH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

MALIK

H

DABABNEH

DO

MALIK H DABABNEH DO

10/06/1993

10/06/1993

07/31/2008

HARRISBURG

IL

62946

SALINE

II III IV V

N

11/06/2008