SUBODH K LAL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

SUBODH

K

LAL

MD

SUBODH K LAL MD

03/30/2000

03/30/2000

07/31/2002

CHICAGO

IL

60611

COOK

II III IV V

N

10/09/2006