HESHAM M ATWA

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****90

NOT RENEWED

N

HESHAM M

ATWA

HESHAM M ATWA

02/02/1996

02/02/1996

07/31/2002

CHICAGO

IL

60657

COOK

II III IV V

N

10/09/2006