BRIAN A BATES MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

NOT RENEWED

N

BRIAN

A

BATES

MD

BRIAN A BATES MD

10/16/1997

10/16/1997

07/31/1999

BLOOMINGTON

IL

61701

MCLEAN

II III IV V

N

09/26/2006