JAMES EDWIN KEASLING MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****72

NOT RENEWED

N

JAMES

EDWIN

KEASLING

MD

JAMES EDWIN KEASLING MD

01/01/1997

07/31/2002

URBANA

IL

61802

CHAMPAIGN

II III

N

10/09/2006