Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****77
NOT RENEWED
N
ADARSH
MALLINATH
HIREMATH
MD
ADARSH MALLINATH HIREMATH MD
03/25/2010
04/13/2011
07/31/2014
URBANA
IL
61801
CHAMPAIGN
PRACTITIONER
II III IV V
11/17/2014