SALIM M KASSAM DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

SALIM M

KASSAM

DO

SALIM M KASSAM DO

08/07/1985

06/27/2008

07/31/2011

CALUMET CITY

IL

60409

COOK

II III IV V

N

11/10/2011