VIJAYALAKSHMI V THOTA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

ACTIVE

N

VIJAYALAKSHMI V

THOTA

DO

VIJAYALAKSHMI V THOTA DO

12/27/1996

06/10/2023

07/31/2026

ORLAND PARK

IL

60462

COOK

II III IV V

N

06/10/2023