RAMA VAITLA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

RAMA

VAITLA

MD

RAMA VAITLA MD

08/15/2000

08/15/2000

07/31/2002

CHICAGO

IL

60707

COOK

II III IV V

N

04/07/2011