The holder whose full name is Khraisat, Ahmad S.,come from Chicago IL,hold the Physician license(NO.01057872A) which status is Expired Non-Renewable.
| Name | Khraisat, Ahmad S. |
|---|---|
| License Number | 01057872A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Chicago |
| State | IL |