ANTRA DAS MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****09

ACTIVE

N

MD

ANTRA

DAS

ANTRA DAS MD

03/24/2026

03/24/2026

07/31/2026

MAYWOOD

IL

60153

COOK

PRACTITIONER

II III IV V

N

03/24/2026