PHILIP G BAIN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****81

NOT RENEWED

N

PHILIP G

BAIN

DO

PHILIP G BAIN DO

12/24/1986

12/24/1986

07/31/1987

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

09/26/2006