OMAR T ATIQ MD

Business Entity
CANCELLED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

CANCELLED

N

OMAR T

ATIQ

MD

OMAR T ATIQ MD

05/29/1987

05/29/1987

07/31/1990

HINES

IL

60141

COOK

II III IV V

N

09/26/2006