NAGESWARA R PODAPATI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****90

NOT RENEWED

N

NAGESWARA R

PODAPATI

MD

NAGESWARA R PODAPATI MD

06/22/1989

06/22/1989

07/31/1993

DU QUOIN

IL

62832

PERRY

II III IV V

N

09/26/2006