SUMA POKALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

NOT RENEWED

N

SUMA

POKALA

MD

SUMA POKALA MD

02/04/1985

02/04/1985

07/31/1987

CHAMPAIGN

IL

61821

CHAMPAIGN

II III IV V

N

09/26/2006