SARASWATHI JAMPALA

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

SARASWATHI

JAMPALA

SARASWATHI JAMPALA

09/30/1999

09/30/1999

07/31/2002

OAK LAWN

IL

60453

COOK

II III IV V

N

10/09/2006