JAMES RUSSELL CREATH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

JAMES RUSSELL

CREATH

MD

JAMES RUSSELL CREATH MD

01/01/1997

07/31/1999

LIBERTYVILLE

IL

60048

LAKE

II III IV V

N

04/12/2017