JOSEPH HASKELL PRICE

Business Entity
INOPERATIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****88

INOPERATIVE

N

JOSEPH HASKELL

PRICE

JOSEPH HASKELL PRICE

01/01/1998

09/30/2002

MASON CITY

IL

62664

MASON

II III IV V

N

10/17/2005