PRASHANT KUMAR CHAWLA

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****87

NOT RENEWED

N

PRASHANT

KUMAR

CHAWLA

PRASHANT KUMAR CHAWLA

12/15/2005

12/15/2005

07/31/2008

JOLIET

IL

60435

WILL

V

N

04/05/2020