KAVITHA PARUCHURU DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

KAVITHA

PARUCHURU

DO

KAVITHA PARUCHURU DO

10/05/2004

10/05/2004

07/31/2008

CHICAGO

IL

60612

COOK

N

11/06/2008