SRINIVAS DORASWAMY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

NOT RENEWED

N

SRINIVAS

DORASWAMY

MD

SRINIVAS DORASWAMY MD

03/20/2006

03/20/2006

07/31/2008

WAUKEGAN

IL

60085

LAKE

N

11/06/2008