MAHENDRA PRASAD MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

MAHENDRA

PRASAD

MD

MAHENDRA PRASAD MD

07/13/1999

07/13/1999

07/31/2002

SPRINGFIELD

IL

62769

SANGAMON

II III IV V

N

10/09/2006