PRASAD ABRAHAM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****62

NOT RENEWED

N

PRASAD

ABRAHAM

MD

PRASAD ABRAHAM MD

09/23/1983

04/20/2020

07/31/2023

OFALLON

IL

62269

SAINT CLAIR

II III IV V

N

11/30/2023