GINA M SPARACINO DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

GINA M

SPARACINO

DO

GINA M SPARACINO DO

01/20/1995

01/20/1995

07/31/1999

EFFINGHAM

IL

62401

EFFINGHAM

II III IV V

N

09/26/2006