FARAH TAZEEN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****72

NOT RENEWED

N

FARAH

TAZEEN

MD

FARAH TAZEEN MD

10/01/2008

07/25/2011

07/31/2014

SUMMIT

IL

60501

COOK

PRACTITIONER

II III IV V

N

04/05/2020