MIR E ALI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

MIR

E

ALI

MD

MIR E ALI MD

06/01/2004

07/15/2008

07/31/2011

GLENDALE HEIGHTS

IL

60139

DUPAGE

II III IV V

N

11/10/2011