ADAM J LABORE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****17

NOT RENEWED

N

MD

ADAM

J

LABORE

ADAM J LABORE MD

12/04/2002

12/04/2002

07/31/2005

GRANITE CITY

IL

62040

MADISON

II III IV V

N

10/09/2006