BADAVANAHALLI R VEERENDRA BABU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

BADAVANAHALLI R

VEERENDRA BABU

MD

BADAVANAHALLI R VEERENDRA BABU MD

01/23/1997

01/23/1997

07/31/1999

SHELBYVILLE

IL

62565

SHELBY

II III IV V

N

09/26/2006