ARCHANA LAL-TABAK

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****62

ACTIVE

N

ARCHANA

LAL-TABAK

ARCHANA LAL-TABAK

12/07/1989

06/28/2023

07/31/2026

EVANSTON

IL

60201

COOK

II III IV V

N

06/28/2023