MASSIE GHODS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****90

NOT RENEWED

N

MASSIE

GHODS

MD

MASSIE GHODS MD

11/23/1988

11/23/1988

07/31/1990

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006