NIRMALA C BHOOPALAM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

NIRMALA

C

BHOOPALAM

MD

NIRMALA C BHOOPALAM MD

07/25/1984

07/24/2017

09/30/2020

HINES

IL

60141

COOK

PRACTITIONER

II III IV V

N

01/14/2021