BASEL MOHAMMAD ALTOOS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****74

NOT RENEWED

N

MD

BASEL

MOHAMMAD

ALTOOS

BASEL MOHAMMAD ALTOOS MD

05/12/2020

05/12/2020

07/31/2023

MAYWOOD

IL

60153

COOK

PRACTITIONER

II III IV V

N

11/30/2023