VASANTHA SASTRY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

VASANTHA

SASTRY

MD

VASANTHA SASTRY MD

07/31/1990

08/19/2008

07/31/2011

TINLEY PARK

IL

60477

COOK

II III IV V

N

04/05/2020