DEAN A MANUS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****78

NOT RENEWED

N

DEAN A

MANUS

MD

DEAN A MANUS MD

05/05/1994

05/05/1994

07/31/2002

WEST DUNDEE

IL

60118

COOK

II III IV V

N

10/09/2006