Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****51

NOT RENEWED

N

MD

PRATYUSHA

YADAVALLI

PRATYUSHA YADAVALLI MD

08/14/2019

08/03/2020

07/31/2023

OAK LAWN

IL

60453

COOK

PRACTITIONER

II III IV V

N

11/30/2023