AZHAR GHUMRA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

ACTIVE

N

DO

AZHAR

GHUMRA

AZHAR GHUMRA DO

07/09/2025

07/09/2025

07/31/2026

PEORIA

IL

61604

PEORIA

PRACTITIONER

II III IV V

N

07/09/2025