HUMA I IFTIKHAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

HUMA I

IFTIKHAR

MD

HUMA I IFTIKHAR MD

03/06/1996

03/06/1996

07/31/2002

MAYWOOD

IL

60153

COOK

II III IV V

N

10/09/2006