Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

SRINIVASA

R

BAKKANNAGARI

MD

SRINIVASA R BAKKANNAGARI MD

09/14/1999

09/14/1999

07/31/2002

EVANSTON

IL

60202

COOK

II III IV V

N

10/09/2006