DALE L WING MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

NOT RENEWED

N

DALE L

WING

MD

DALE L WING MD

05/27/1993

05/27/1993

07/31/1999

CHARLESTON

IL

61920

COLES

II III IV V

N

09/26/2006