ODUAH D OSARO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

ODUAH

D

OSARO

MD

ODUAH D OSARO MD

08/16/1999

08/16/1999

07/31/2002

SAVANNA

IL

61074

CARROLL

II III IV V

N

10/09/2006