SIDDHARTH ASHOK PADIA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****80

NOT RENEWED

N

SIDDHARTH

ASHOK

PADIA

MD

SIDDHARTH ASHOK PADIA MD

02/06/2008

03/11/2009

07/31/2011

CHICAGO

IL

60610

COOK

PRACTITIONER

II III IV V

N

11/10/2011