BHANU V KANAKAMEDALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

BHANU V

KANAKAMEDALA

MD

BHANU V KANAKAMEDALA MD

08/10/1990

08/10/1990

07/31/1993

MAYWOOD

IL

60153

COOK

II III IV V

N

09/26/2006