LOREN BARRETT OST MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****61

NOT RENEWED

N

LOREN

BARRETT

OST

MD

LOREN BARRETT OST MD

02/01/1999

06/15/2011

07/31/2014

SPRINGFIELD

IL

62701

SANGAMON

II III IV V

N

11/17/2014