BARRETT LEE COLEMAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****43

NOT RENEWED

N

BARRETT LEE

COLEMAN

MD

BARRETT LEE COLEMAN MD

01/01/1997

07/31/1987

EAST ST LOUIS

IL

62205

SAINT CLAIR

II III IV V

Y

03/24/2007

1984000589

Suspension

04/17/1986