SUDHA BALAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MD

SUDHA

BALAN

SUDHA BALAN MD

07/23/2009

07/23/2009

07/31/2011

OAK LAWN

IL

60453

COOK

PRACTITIONER

II III IV V

N

04/12/2017