JAMES P EMANUEL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

JAMES P

EMANUEL

MD

JAMES P EMANUEL MD

10/23/1986

10/23/1986

07/31/1987

ST LOUIS

MO

63108

MISSOURI

II III IV V

N

09/26/2006