Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****06

NOT RENEWED

N

AMRUTHA

BHAKTHAVATHSALAN

MD

AMRUTHA BHAKTHAVATHSALAN MD

02/04/1985

02/04/1985

07/31/1990

NORTH RIVERSIDE

IL

60546

COOK

II III IV V

N

09/26/2006