PRAKASH MOTWANI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****40

NOT RENEWED

N

MD

PRAKASH

MOTWANI

PRAKASH MOTWANI MD

08/28/2012

08/28/2012

07/31/2014

DECATUR

IL

62526

MACON

PRACTITIONER

II III IV V

N

04/05/2020