RUTH A FRAZIER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

RUTH A

FRAZIER

MD

RUTH A FRAZIER MD

11/15/1985

11/15/1985

07/31/1996

SPRINGFIELD

IL

62769

SANGAMON

II III IV V

N

09/26/2006