LAXMI PRASAD DHAKAL MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

ACTIVE

N

MD

LAXMI

PRASAD

DHAKAL

LAXMI PRASAD DHAKAL MD

10/05/2023

10/05/2023

07/31/2026

PEORIA

IL

61614

PRACTITIONER

II III IV V

N

10/05/2023