ISIL HALAC MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****82

NOT RENEWED

N

MD

ISIL

HALAC

ISIL HALAC MD

01/10/2006

09/11/2018

09/30/2020

CHICAGO

IL

60614

COOK

II III IV V

N

01/14/2021