BISWAMAY RAY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

BISWAMAY

RAY

MD

BISWAMAY RAY MD

06/23/1982

06/16/2014

07/31/2017

CHICAGO

IL

60644

COOK

II III IV V

N

11/01/2017