JOEL A INGRIM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****03

NOT RENEWED

N

MD

JOEL

A

INGRIM

JOEL A INGRIM MD

07/24/2015

07/24/2015

07/31/2017

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

11/01/2017