Medical Doctor
LICENSED PHYSICIAN CONTROLLED SUBSTANCE
33*****95
NOT RENEWED
N
MD
JADE
DOMINIGUE
JAMES-HALBERT
JADE DOMINIGUE JAMES-HALBERT MD
11/19/2010
08/23/2011
07/31/2014
GREENVILLE
IL
62246
BOND
PRACTITIONER
II III IV
11/17/2014