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Case Number and Status

Case Number: I-200-17110-107086

Submitted on:

DENIED

on:

Employment

From: 2017-10-01

To: 2020-09-30 (1,095 days)

Address

611 West Main Street
Fredericktown, MO 63645

Phone

5737833341


Attorney Summary

Location
Fairview Heights, IL

Job Summary

Job Title
Physician
City and State
Fredericktown, MO
County
Madison

Soc Code
29-1062.00
Naics Code
Industry Code
622110