MELLEKATE S VISHWAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

NOT RENEWED

N

MD

MELLEKATE

S

VISHWAS

MELLEKATE S VISHWAS MD

04/26/2017

07/02/2020

07/31/2023

PARIS

IL

61944

EDGAR

PRACTITIONER

II III IV V

N

11/30/2023