BARRY CHARLES FOX

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

BARRY CHARLES

FOX

BARRY CHARLES FOX

07/06/1990

07/06/1990

07/31/1999

URBANA

IL

61801

CHAMPAIGN

II III IV V

N

09/26/2006