BHOLA N RAMA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****82

NOT RENEWED

N

BHOLA N

RAMA

MD

BHOLA N RAMA MD

09/28/1990

09/28/1990

07/31/1993

OFALLON

IL

62269

SAINT CLAIR

II III IV V

N

09/26/2006