Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

MD

JYOTHSNA

DASARATHULA

JYOTHSNA DASARATHULA MD

04/14/2017

08/11/2020

07/31/2023

CARBONDALE

IL

62901

JACKSON

PRACTITIONER

II III IV V

N

11/30/2023