OMER KHALID MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****43

NOT RENEWED

N

OMER

KHALID

MD

OMER KHALID MD

10/06/2005

04/15/2011

07/31/2014

MOUNT VERNON

IL

62864

JEFFERSON

II III IV V

N

04/08/2014