DWARKA NATH WADEHRA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

NOT RENEWED

N

DWARKA NATH

WADEHRA

MD

DWARKA NATH WADEHRA MD

01/08/1982

01/08/1982

07/31/1999

CANTON

IL

61520

FULTON

II III IV V

Y

03/26/2007

1999001626

Revocation

05/23/2001