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Case Number and Status

Case Number: I-200-14027-576415

Submitted on:

CERTIFIED

on:

Employment

From: 2015-07-01

To: 2018-06-30 (1,095 days)

Address

403 E. First Street
Dixon, IL 61021

Phone

8152855508


Attorney Summary

Location
St. Louis, MO

Job Summary

Job Title
Physician
City and State
Dixon, IL
County
Lee

Soc Code
29-1062.00
Naics Code
Industry Code
6221