BHASKAR RAO DAMERA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

BHASKAR RAO

DAMERA

MD

BHASKAR RAO DAMERA MD

01/01/1997

07/18/2014

07/31/2017

DECATUR

IL

62523

MACON

II III IV V

N

04/05/2020