BAGIRATHAN JANARTHANAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

BAGIRATHAN

JANARTHANAN

MD

BAGIRATHAN JANARTHANAN MD

03/15/2004

03/15/2004

07/31/2005

BELLEVILLE

IL

62221

SAINT CLAIR

II III IV V

N

10/09/2006