MICHAEL P TEMPORAL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MICHAEL

P

TEMPORAL

MD

MICHAEL P TEMPORAL MD

04/23/1998

05/19/2011

07/31/2014

BELLEVILLE

IL

62220

SAINT CLAIR

II III IV V

N

11/17/2014