ATHER NIZAM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****81

NOT RENEWED

N

ATHER

NIZAM

MD

ATHER NIZAM MD

07/26/1990

07/26/1990

07/31/1999

CHICAGO

IL

60628

COOK

II III IV V

N

04/05/2020