ERIC B BARTH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****18

NOT RENEWED

N

ERIC B

BARTH

MD

ERIC B BARTH MD

03/09/1989

03/09/1989

07/31/1993

ALTON

IL

62002

MADISON

II III IV V

N

09/26/2006