DOUGLAS BENJAMIN MAINS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

DOUGLAS BENJAMIN

MAINS

MD

DOUGLAS BENJAMIN MAINS MD

01/01/1997

07/31/2002

CAROL STREAM

IL

60188

DUPAGE

II III IV V

N

10/09/2006