NASREEN AMAANATH

Business Entity
INOPERATIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****21

INOPERATIVE

N

NASREEN

AMAANATH

NASREEN AMAANATH

06/01/2023

06/19/2023

03/01/2024

CHICAGO

IL

60642

COOK

N

12/06/2023