B R PRASAD ACHANTI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****92

NOT RENEWED

N

B R PRASAD

ACHANTI

MD

B R PRASAD ACHANTI MD

08/05/1983

08/05/1983

07/31/1987

CHICAGO

IL

60612

COOK

II III IV V

N

09/26/2006