JOSEPH M FEDER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****65

NOT RENEWED

N

JOSEPH M

FEDER

MD

JOSEPH M FEDER MD

10/29/2001

10/29/2001

07/31/2005

DECATUR

IL

62521

MACON

II III IV V

N

04/12/2017