DAVID L GRIMES MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****61

NOT RENEWED

N

DAVID L

GRIMES

MD

DAVID L GRIMES MD

09/12/1985

09/12/1985

07/31/2008

HARRISBURG

IL

62946

SALINE

II III IV V

N

04/07/2011