OMID ALEX LESANI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****74

NOT RENEWED

N

OMID

ALEX

LESANI

MD

OMID ALEX LESANI MD

04/28/2006

04/28/2006

07/31/2008

CHICAGO

IL

60611

COOK

II III IV V

N

11/06/2008