SUMEER LAL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****23

NOT RENEWED

N

SUMEER

LAL

MD

SUMEER LAL MD

09/23/1999

09/23/1999

07/31/2005

CARBONDALE

IL

62901

JACKSON

II III IV V

N

10/09/2006