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Case Number and Status

Case Number: I-200-19044-071447

Submitted on:

CERTIFIED

on:

Employment

From: 2019-04-28

To: 2022-04-28 (1,096 days)

Address

1515 Dragoon Trail
Mishawaka, IN 46544-5123

Phone

3175287033


Attorney Summary

Location
Chicago, IL

Job Summary

Job Title
Physician
City and State
Beech Grove, INDIANA
County
Marion County

Soc Code
29-1062.00
Naics Code
Industry Code
622110