FIROOZEH MOTAMEDI

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

FIROOZEH

MOTAMEDI

FIROOZEH MOTAMEDI

05/24/2000

05/24/2000

07/31/2005

SCHAUMBURG

IL

60173

COOK

II III IV V

N

10/09/2006