Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

TIRUCHENGODU

M

VENKATACHALAPATHI

MD

TIRUCHENGODU M VENKATACHALAPATHI MD

07/27/1998

07/27/1998

07/31/2002

HOOPESTON

IL

60942

IROQUOIS

II III IV V

N

10/09/2006