JOSEPH C PROCTOR DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

JOSEPH C

PROCTOR

DO

JOSEPH C PROCTOR DO

05/02/1983

05/02/1983

07/31/1999

EFFINGHAM

IL

62401

EFFINGHAM

II III IV V

N

09/26/2006