Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

NOT RENEWED

N

MD

CYRIL

ETTA

TABE

CYRIL ETTA TABE MD

03/10/2020

11/12/2020

07/31/2023

DECATUR

IL

62526

MACON

PRACTITIONER

II III IV V

N

11/30/2023