PRASAD R GOLLAPUDI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****78

NOT RENEWED

N

PRASAD R

GOLLAPUDI

MD

PRASAD R GOLLAPUDI MD

01/23/1987

01/23/1987

07/31/1993

HINSDALE

IL

60521

COOK

II III IV V

N

09/26/2006