JAMIE LENEE NORTH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

NOT RENEWED

N

MD

JAMIE

LENEE

NORTH

JAMIE LENEE NORTH MD

08/05/2009

07/30/2014

07/31/2017

ALTON

IL

62002

MADISON

PRACTITIONER

II III IV V

N

11/01/2017