OMAR B LATEEF DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****44

NOT RENEWED

N

OMAR

B

LATEEF

DO

OMAR B LATEEF DO

05/09/2002

07/11/2017

09/30/2020

CHICAGO

IL

60612

COOK

II III IV V

N

01/14/2021