BARRY KEITH WETSELL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

NOT RENEWED

N

BARRY

KEITH

WETSELL

DO

BARRY KEITH WETSELL DO

11/27/2002

11/27/2002

07/31/2008

CHARLESTON

IL

61920

COLES

II III IV V

N

04/07/2011