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Case Number and Status

Case Number: I-200-21089-186021

Submitted on:

Certified

on:

Employment

From: 2021-04-12

To: 2024-04-11 (1,095 days)

Address

2 Good Samaritan Way, Ste. 205,
Mt. Vernon, IL 62864

Phone

16188993869


Attorney Summary

Location
St. Louis, MO

Job Summary

Job Title
Physician
City and State
Marion, IL
County
Williamson

Soc Code
29-1069.00
Naics Code
Industry Code
62111