GHOUSE MOHIUDDIN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

DO

GHOUSE

MOHIUDDIN

GHOUSE MOHIUDDIN DO

09/04/2009

09/04/2009

07/31/2011

NORTH CHICAGO

IL

60064

LAKE

PRACTITIONER

II III IV V

N

04/05/2020