WASEEM PERACHA

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

WASEEM

PERACHA

WASEEM PERACHA

01/09/1995

01/09/1995

07/31/2005

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006