ABDULFATAH MOHAMED ALI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

ABDULFATAH

MOHAMED

ALI

MD

ABDULFATAH MOHAMED ALI MD

08/21/2001

08/21/2001

07/31/2005

JOLIET

IL

60435

WILL

II III IV V

N

10/09/2006