BHAVANA GORTI DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

ACTIVE

N

DO

BHAVANA

GORTI

BHAVANA GORTI DO

08/22/2025

08/22/2025

07/31/2026

EVERGREEN PARK

IL

60805

COOK

PRACTITIONER

II III IV V

N

08/22/2025