MOHAMMAD T AL-ASSI

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

MOHAMMAD T

AL-ASSI

MOHAMMAD T AL-ASSI

10/22/1991

10/22/1991

07/31/2005

CARMI

IL

62821

WHITE

II III IV V

N

10/09/2006