PRAKASH KHANAL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****54

NOT RENEWED

N

MD

PRAKASH

KHANAL

PRAKASH KHANAL MD

11/16/2015

06/05/2017

09/30/2020

FOREST PARK

IL

60130

COOK

PRACTITIONER

II III IV V

N

01/14/2021