ASHOK R MALLYA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****10

NOT RENEWED

N

ASHOK R

MALLYA

MD

ASHOK R MALLYA MD

10/28/1992

10/28/1992

07/31/1999

CHICAGO

IL

60603

COOK

II III IV V

N

09/26/2006