IMRANA A MALIK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

IMRANA

A

MALIK

MD

IMRANA A MALIK MD

09/20/2000

09/20/2000

07/31/2002

MAYWOOD

IL

60153

COOK

II III IV V

N

10/09/2006