ASADULLAH HUSSAIN

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

ASADULLAH

HUSSAIN

ASADULLAH HUSSAIN

12/09/1997

12/09/1997

07/31/2005

SPRINGFIELD

IL

62769

SANGAMON

II III IV V

N

10/09/2006