JAMES PHILLIP DURHAM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****65

NOT RENEWED

N

JAMES PHILLIP

DURHAM

MD

JAMES PHILLIP DURHAM MD

12/21/1988

07/24/2008

07/31/2011

WEST FRANKFORT

IL

62896

FRANKLIN

II III IV V

N

11/10/2011