RAMA VAITLA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****42

NOT RENEWED

N

RAMA

VAITLA

MD

RAMA VAITLA MD

03/19/2001

03/19/2001

07/31/2002

CHICAGO

IL

60614

COOK

II III IV V

N

04/07/2011