NASIMA RAFIQUE SOOMAR

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

NASIMA RAFIQUE

SOOMAR

NASIMA RAFIQUE SOOMAR

09/19/1996

09/19/1996

07/31/1999

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006