PRAFUL VAKIL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

MD

PRAFUL

VAKIL

PRAFUL VAKIL MD

03/30/2021

03/30/2021

07/31/2023

SPRINGFIELD

IL

62704

SANGAMON

PRACTITIONER

II III IV V

N

11/30/2023