TILAK DHARMA RAJ MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****15

ACTIVE

N

MD

TILAK

DHARMA

RAJ

TILAK DHARMA RAJ MD

12/21/2023

12/21/2023

07/31/2026

EDMOND

OK

73034

OKLAHOMA

PRACTITIONER

II III IV V

N

12/21/2023