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Case Number and Status

Case Number: I-200-20106-488946

Submitted on:

Certified

on:

Employment

From: 2020-07-01

To: 2023-06-30 (0 days)

Address

8940 N. Wood Sage Road
Peoria, IL 61615

Phone

+13092081197


Attorney Summary

Location
Minneapolis , MN

Job Summary

Job Title
Physician
City and State
Peoria, IL
County
Peoria

Soc Code
29-1069.00
Naics Code
Industry Code
62111