BALASUBRAMANIAM IYER

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

BALASUBRAMANIAM

IYER

BALASUBRAMANIAM IYER

01/01/1997

06/29/2011

07/31/2014

CHICAGO

IL

60640

COOK

II III IV V

N

04/05/2020