The holder whose full name is BOTLA, PRAMEELA,come from WOODRIDGE IL,hold the Physician license(NO.01030610A) which status is Expired Non-Renewable.
| Name | BOTLA, PRAMEELA |
|---|---|
| License Number | 01030610A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WOODRIDGE |
| State | IL |