ALI A LATEFI DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

ALI

A

LATEFI

DO

ALI A LATEFI DO

11/18/2002

11/18/2002

07/31/2005

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006