PRASHANT KAPOOR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

PRASHANT

KAPOOR

MD

PRASHANT KAPOOR MD

01/29/2003

01/29/2003

07/31/2005

EVANSTON

IL

60202

COOK

II III IV V

N

10/09/2006