SURESH ALLA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

MD

SURESH

ALLA

SURESH ALLA MD

06/14/2012

05/01/2017

09/30/2020

GENESEO

IL

61254

HENRY

II III IV V

N

01/14/2021