LATA U SABNIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

NOT RENEWED

N

LATA U

SABNIS

MD

LATA U SABNIS MD

05/06/1982

05/06/1982

07/31/1990

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006