PRABHA RANGANATHAN

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****79

NOT RENEWED

N

PRABHA

RANGANATHAN

PRABHA RANGANATHAN

01/19/1996

01/19/1996

07/31/1999

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006