JADE DOMINIGUE JAMES-HALBERT MD

Business Entity
NOT RENEWED

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

N

11/17/2014