SRIKIRAN POTHAMSETTY

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****97

NOT RENEWED

N

SRIKIRAN

POTHAMSETTY

SRIKIRAN POTHAMSETTY

09/27/1994

09/27/1994

07/31/2002

CHICAGO

IL

60612

COOK

II III IV V

N

10/09/2006