PRASANNA S NAIR

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

ACTIVE

N

PRASANNA S

NAIR

PRASANNA S NAIR

01/30/1996

04/09/2023

07/31/2026

NILES

IL

60714

COOK

II III IV V

N

04/09/2023