Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

NOT RENEWED

N

MD

SWARNA

PRABHA

RAI

SWARNA PRABHA RAI MD

04/27/2016

07/02/2020

07/31/2023

SPRINGFIELD

IL

62702

SANGAMON

PRACTITIONER

II III IV V

N

11/30/2023