VIDYA S BOBBA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****20

NOT RENEWED

N

VIDYA S

BOBBA

MD

VIDYA S BOBBA MD

07/09/1987

07/09/1987

07/31/1996

BLOOMINGTON

IL

61701

MCLEAN

II III IV V

N

09/26/2006