PRASHANT KUMAR CHAWLA

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****19

ACTIVE

N

PRASHANT

KUMAR

CHAWLA

PRASHANT KUMAR CHAWLA

12/08/2005

05/06/2023

07/31/2026

DARIEN

IL

60561

COOK

II III IV V

N

05/06/2023