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Case Number and Status

Case Number: I-200-17074-419167

Submitted on:

CERTIFIED

on:

Employment

From: 2017-09-15

To: 2020-09-14 (1,095 days)

Address

105 Creekside Office Drive
Wentzville, MO 63385

Phone

6366396262


Attorney Summary

Location
Clayton, MO

Job Summary

Job Title
Physician
City and State
Wentzville, MO
County
St. Charles

Soc Code
29-1063.00
Naics Code
Industry Code
621111