Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****04

NOT RENEWED

N

THAKSHAKAMANI

MADAMALA

MD

THAKSHAKAMANI MADAMALA MD

06/10/1993

07/07/2020

07/31/2023

CRYSTAL LAKE

IL

60014

MCHENRY

II III IV V

N

11/30/2023