NARAYAN S GHANTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

MD

NARAYAN

S

GHANTA

NARAYAN S GHANTA MD

07/20/1993

07/20/1993

07/31/1999

MCLEANSBORO

IL

62859

HAMILTON

II III IV V

N

09/26/2006