SOSALE MADAIAH BERKUCHEL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

SOSALE MADAIAH

BERKUCHEL

MD

SOSALE MADAIAH BERKUCHEL MD

12/05/1984

12/05/1984

07/31/1987

SAN ANTONIO

TX

78249

TEXAS

II III IV V

N

09/26/2006