P PAUL VELAMPARAMPIL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

P PAUL

VELAMPARAMPIL

MD

P PAUL VELAMPARAMPIL MD

08/31/1987

08/31/1987

07/31/1999

MENDOTA

IL

61342

LA SALLE

III IV V

N

04/07/2011