RAMAKRISHNA R MADALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****18

NOT RENEWED

N

RAMAKRISHNA R

MADALA

MD

RAMAKRISHNA R MADALA MD

01/01/1997

05/15/2020

07/31/2023

SPRINGFIELD

IL

62704

SANGAMON

II III IV V

N

11/30/2023