USHA P MANUSMARE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

NOT RENEWED

N

USHA P

MANUSMARE

MD

USHA P MANUSMARE MD

08/02/1988

08/02/1988

07/31/1990

CHESTER

IL

62233

RANDOLPH

II III IV V

N

09/26/2006