The holder whose full name is UMASHANKAR, SHANTALA,come from MIDDLETOWN CT,hold the Physician license(NO.01036190A) which status is Expired Non-Renewable.
| Name | UMASHANKAR, SHANTALA |
|---|---|
| License Number | 01036190A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MIDDLETOWN |
| State | CT |