ISSAC G PLAMOOTTIL DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

ACTIVE

N

ISSAC G

PLAMOOTTIL

DO

ISSAC G PLAMOOTTIL DO

09/30/1988

04/12/2023

07/31/2026

CHICAGO

IL

60615

COOK

II III IV V

N

04/12/2023