MARK A EBADI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

NOT RENEWED

N

MARK

A

EBADI

MD

MARK A EBADI MD

08/03/2000

08/03/2000

07/31/2002

EVANSTON

IL

60201

COOK

II III IV V

N

10/09/2006