S SRIKANTA SWAMY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****17

NOT RENEWED

N

S SRIKANTA

SWAMY

MD

S SRIKANTA SWAMY MD

06/08/1999

06/08/1999

07/31/2008

LAKE FOREST

IL

60045

LAKE

II III IV

N

11/06/2008