Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****85
NOT RENEWED
N
DO
BETSY
MALICAKAL
EAPEN
BETSY MALICAKAL EAPEN DO
03/04/2010
04/05/2011
07/31/2014
STREAMWOOD
IL
60107
COOK
PRACTITIONER
II III IV V
04/12/2017