SREE BALUSU MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

ACTIVE

N

MD

SREE

BALUSU

SREE BALUSU MD

10/23/2023

10/23/2023

07/31/2026

DES PLAINES

IL

60016

COOK

PRACTITIONER

II III IV V

N

10/24/2023