BARRY IRA SPIEGEL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

NOT RENEWED

N

BARRY

IRA

SPIEGEL

DO

BARRY IRA SPIEGEL DO

03/13/2001

03/13/2001

07/31/2002

ROCKFORD

IL

61107

WINNEBAGO

II III IV V

N

10/09/2006