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Case Number and Status

Case Number: I-200-15098-194568

Submitted on:

CERTIFIED

on:

Employment

From: 2015-07-01

To: 2018-07-01 (1,096 days)

Address

615 N. Promenade Street N/a
Havana, IL 62644

Phone

3095438104


Attorney Summary

Location
Chicago, IL

Job Summary

Job Title
Physician
City and State
Havana, IL
County
Mason

Soc Code
29-1069.00
Naics Code
Industry Code
622110