OOMMEN KOSHY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MD

OOMMEN

KOSHY

OOMMEN KOSHY MD

01/01/1997

06/04/2008

07/31/2011

WHEATON

IL

60187

DUPAGE

II III IV V

N

04/05/2020