GEETHA G HERATH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****63

NOT RENEWED

N

MD

GEETHA

G

HERATH

GEETHA G HERATH MD

10/17/1997

11/05/2020

07/31/2023

OAK LAWN

IL

60453

COOK

II III IV V

N

11/30/2023