AMRIEN GHOUSE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

DO

AMRIEN

GHOUSE

AMRIEN GHOUSE DO

04/17/2019

09/10/2020

07/31/2023

CHICAGO

IL

60611

PRACTITIONER

II III IV V

N

11/30/2023