INTESAR HUSSAIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

MD

INTESAR

HUSSAIN

INTESAR HUSSAIN MD

05/09/2014

05/09/2014

07/31/2017

CHICAGO

IL

60655

COOK

II III IV V

N

04/05/2020