GEORGE RALPH MAGRE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****57

NOT RENEWED

N

GEORGE

RALPH

MAGRE

MD

GEORGE RALPH MAGRE MD

09/02/1998

06/20/2014

07/31/2017

SPRINGFIELD

IL

62704

SANGAMON

II III IV V

N

11/01/2017