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Case Number and Status

Case Number: I-200-17071-621882

Submitted on:

CERTIFIED

on:

Employment

From: 2017-05-01

To: 2020-05-01 (1,096 days)

Address

615 N. Promenade Street
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