RIMA SAMIR BERCHANE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****86

NOT RENEWED

N

RIMA

SAMIR

BERCHANE

MD

RIMA SAMIR BERCHANE MD

10/30/2003

10/03/2008

07/31/2011

URBANA

IL

61801

CHAMPAIGN

IV

N

11/10/2011