SOUMYA JAYASANKAR

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****00

ACTIVE

N

SOUMYA

JAYASANKAR

SOUMYA JAYASANKAR

11/05/2012

04/07/2023

07/31/2026

NAPERVILLE

IL

60564

COOK

PRACTITIONER

II III IV V

N

04/07/2023